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CSBG Model Plan Application
Community Services Block Grant (CSBG) Program Model Plan Applications
OMB: 0970-0382
IC ID: 230742
OMB.report
HHS/ACF
OMB 0970-0382
ICR 201803-0970-002
IC 230742
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0382 can be found here:
2024-07-12 - Revision of a currently approved collection
2023-02-23 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
CSBG Model Plan Application
Form and Instruction
1 PLAN CSBG State Plan
PLAN_CSBG_State Plan 2.0 FR2_FY2018.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CSBG Model Plan Application
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 and Instruction
1
PLAN CSBG State Plan
PLAN_CSBG_State Plan 2.0 FR2_FY2018.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
56
0
0
56
0
0
Annual IC Time Burden (Hours)
1,736
0
0
1,736
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.