OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Community Services Block Grant (CSBG) Program Model Plan Applications

ICR 201005-0970-003 · OMB 0970-0382 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 CSBG Model Plan Application - Tribes and Tribal Governments Form New Repair queued
Form 1 CSBG Model Plan Application - States and Territories Form New Repair queued
CSBG INFORMATION MEMORANDA--TRIBES.mht Supplementary Document Uploaded 2010-05-06 Repair queued
CSBG INFORMATION MEMORANDA - STATES.mht Supplementary Document Uploaded 2010-05-06 Repair queued
2009-10 PRA supporting statement for CSBG Model Plans (2).doc Supporting Statement A Uploaded 2010-05-12 Available
IC Document Collections
IC IDCollectionTypeStatusForm
192929 CSBG Model Plan Application - Tribes and Tribal Governments Form New
192928 CSBG Model Plan Application - States and Territories Form New
ICR Details
0970-0382 201005-0970-003
Historical Active
HHS/ACF
Community Services Block Grant (CSBG) Program Model Plan Applications
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 08/11/2010
Retrieve Notice of Action (NOA) 05/18/2010
ACF is reminded that information may not be collected without an active, valid OMB control number.
  Inventory as of this Action Requested Previously Approved
08/31/2013 36 Months From Approved
86 0 0
860 0 0
0 0 0
The CSBG Model Plan Application will be used as the plan submitted to ACF by States, Territories, Tribes and Tribal Organizations for the receipt of Federal funds to administer a CSBG program. The information collected is required by the CSBG Statute for the receipt of CSBG program funds.
PL: Pub.L. 105 - 286 676 Name of Law: CSBG Program
  
None
Not associated with rulemaking
  74 FR 55051 10/26/2009
75 FR 25866 05/10/2010
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 86 0 0 0 0 86
Annual Time Burden (Hours) 860 0 0 0 0 860
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$16,512
No
No
No
Uncollected
No
Uncollected
Robert Sargis 2026907275
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/18/2010