Semi-annual Progress Report for Culturally and Linguistically Specific Services Program

Semi-Annual Progress Report for the Grants to Enhance Culturally and Linguistically Specific Services for Victims of Domestic Violence, Dating Violence, Sexual Assault, and Stalking

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0021 can be found here:

Documents and Forms

Document Name Document Type
Form 1122-XXXX Semi-annual Progress Report for Culturally and Linguistically Specific Services Program Form
1122-XXXX Semi-annual Progress Report for Culturally and Linguisti CLSSP_PF_final.pdf www.grants.gov; www.gms.gov Form
Culturallyspecificprogramstataute.doc Federal Statute IC Document

Information Collection (IC) Details

IC Title:	Semi-annual Progress Report for Culturally and Linguistically Specific Services Program	Agency IC Tracking Number:	1122-0001

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1122-XXXX	Semi-annual Progress Report for Culturally and Linguistically Specific Services Program	CLSSP_PF_final.pdf	www.grants.gov; www.gms.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Federal Statute	Culturallyspecificprogramstataute.doc	10/28/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.