Information Collection

Social Services Block Grant Postexpenditure Report

IC 184191 under ICR 201708-0970-005 · OMB 0970-0234.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0234 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Social Services Block Grant Postexpenditure Report	Form
Attachment B_Instructions for SSBG Reporting Form.pdf	Instruction
1 SSBG Post-Expenditure Report Attachment A - SSBG Post-Expenditure Reporting Form.pdf	Form
Attachment B_Instructions for SSBG Reporting Form.doc Instructions	IC Document

IC Title:

Social Services Block Grant Postexpenditure Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	SSBG Post-Expenditure Report	Attachment A - SSBG Post-Expenditure Reporting Form.pdf		Yes	Yes	Fillable Printable
Instruction			Attachment B_Instructions for SSBG Reporting Form.pdf		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: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	6,160	6,160
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Instructions	Attachment B_Instructions for SSBG Reporting Form.doc	03/01/2011

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