Information Collection Request

Community Services Block Grant (CSBG) Annual Report

ICR 202502-0970-008 · OMB 0970-0492 · Active

Forms and Documents

Document	Type	Status	Availability
Form 3.0 CSBG Annual Report 3.0 (Eligible Entities)	Form and Instruction	Modified	Available
Form 3.0 CSBG Annual Report 3.0 (Eligible Entities)	Form and Instruction	Modified	Repair queued
Form 3.0 CSBG Annual Report 3.0 (States)	Form and Instruction	Modified	Available
Form 3.0 CSBG Annual Report 3.0 (States)	Form and Instruction	Modified	Repair queued
Form 3.0 - Tribal Short CSBG Annual Report 3.0 Tribal Short Form (Tribes)	Form and Instruction	Modified	Repair queued
Form 3.0 - Tribal Short CSBG Annual Report 3.0 Tribal Short Form (Tribes)	Form and Instruction	Modified	Repair queued
Form 3.0 - Tribal Full CSBG Annual Report 3.0 Tribal Annual Report (Tribes)	Form and Instruction	Modified	Repair queued
Form 3.0 - Tribal Full CSBG Annual Report 3.0 Tribal Annual Report (Tribes)	Form and Instruction	Modified	Repair queued
Form 2.1 CSBG Annual Report 2.1 (Eligible Entities)	Form and Instruction	Modified	Repair queued
Form 2.1 CSBG Annual Report 2.1 (Eligible Entities)	Form and Instruction	Modified	Repair queued
Form 2.1 CSBG Annual Report 2.1 (States)	Form and Instruction	Modified	Available
Form 2.1 CSBG Annual Report 2.1 (States)	Form and Instruction	Modified	Repair queued
ADMIN_NonSub Change Request_CSBG Annual Report_020425.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-10	Available
ADMIN_NonSub Change Request_CSBG Annual Report_020425.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-10	Repair queued
RPT_Summary of changes to AR 3.0_121324_fnl.docx	Supplementary Document	Uploaded 2024-12-17	Available
RPT_Summary of changes to AR 3.0_121324_fnl.docx	Supplementary Document	Uploaded 2024-12-17	Repair queued
REP_CSBG_FRN Comment Workbook_100324.xlsx	Supplementary Document	Uploaded 2024-10-10	Available
REP_CSBG_FRN Comment Workbook_100324.xlsx	Supplementary Document	Uploaded 2024-10-10	Repair queued
CSBG_AR OMB Supporting Statement_OMB 0970 0492_FY2025_3.0_100324.docx	Supporting Statement A	Uploaded 2024-10-04	Available
CSBG_AR OMB Supporting Statement_OMB 0970 0492_FY2025_3.0_100324.docx	Supporting Statement A	Uploaded 2024-10-04	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
271368	CSBG Annual Report 3.0 (Eligible Entities)	Form and Instruction	Modified
271368	CSBG Annual Report 3.0 (Eligible Entities)	Form and Instruction	Modified
271366	CSBG Annual Report 3.0 (States)	Form and Instruction	Modified
271366	CSBG Annual Report 3.0 (States)	Form and Instruction	Modified
269019	CSBG Annual Report 3.0 Tribal Short Form (Tribes)	Form and Instruction	Modified
269019	CSBG Annual Report 3.0 Tribal Short Form (Tribes)	Form and Instruction	Modified
269018	CSBG Annual Report 3.0 Tribal Annual Report (Tribes)	Form and Instruction	Modified
269018	CSBG Annual Report 3.0 Tribal Annual Report (Tribes)	Form and Instruction	Modified
224195	CSBG Annual Report 2.1 (Eligible Entities)	Form and Instruction	Modified
224195	CSBG Annual Report 2.1 (Eligible Entities)	Form and Instruction	Modified
224194	CSBG Annual Report 2.1 (States)	Form and Instruction	Modified
224194	CSBG Annual Report 2.1 (States)	Form and Instruction	Modified

ICR Details

Status	Active
Agency/Subagency	HHS/ACF
OMB Control No	0970-0492
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202410-0970-006
Agency Tracking No	OCS
Date Submitted to OIRA	2025-03-28
Requested Expiration Date	1969-12-31