CSBG Model Plan Application - Tribes and Tribal Governments

Community Services Block Grant (CSBG) Program Model Plan Applications

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0382 can be found here:

Documents and Forms

Document Name Document Type
Form 1 CSBG Model Plan Application - Tribes and Tribal Governments Form
1 Application Outline for Model CSBG Tribal Application (2).doc Form
CSBG INFORMATION MEMORANDA--TRIBES.mht Information Memoradum IC Document

Information Collection (IC) Details

IC Title:	CSBG Model Plan Application - Tribes and Tribal Governments	Agency IC Tracking Number:

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	1	Application	Outline for Model CSBG Tribal Application (2).doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Information Memoradum	CSBG INFORMATION MEMORANDA--TRIBES.mht	05/06/2010

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