Information Collection

CSBG CARES Supplemental State Plan

IC 241691 under ICR 202005-0970-003 · OMB 0970-0382.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1b CSBG CARES Supplemental State Plan	Form and Instruction
1b CSBG CARES Supplemental State Plan PLAN_CSBG_State Plan CARES Act CLEAN.docx	Form and Instruction

IC Title:

CSBG CARES Supplemental State Plan

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1b	CSBG CARES Supplemental State Plan	PLAN_CSBG_State Plan CARES Act CLEAN.docx		Yes	Yes	Fillable Fileable

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	1,176	1,176
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.