Information Collection

CSBG Disaster Annual Report: Grantees

IC 244533 under ICR 202011-0970-005 · OMB 0970-0492.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0492 can be found here:

Documents and Forms

Document Name Document Type
Form 1 CSBG Disaster Annual Report: Grantees Form and Instruction
1 CSBG Disaster Supplemental Annual Report Module 1 CSBG Disaster Supplemental Annual Report Module 1 (Clean).docx Form and Instruction
2 CSBG Disaster Supplemental Annual Report Module 2 CSBG Disaster Supplemental Annual Report Module 2 (Clean).xlsx Form and Instruction
4 CSBG Disaster Supplemental Annual Report Module 4 CSBG Disaster Supplemental Annual Report Module 4 (Clean).xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CSBG Disaster Annual Report: Grantees	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	CSBG Disaster Supplemental Annual Report Module 1	CSBG Disaster Supplemental Annual Report Module 1 (Clean).docx	Yes	Yes	Fillable Fileable
Form and Instruction	2	CSBG Disaster Supplemental Annual Report Module 2	CSBG Disaster Supplemental Annual Report Module 2 (Clean).xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	4	CSBG Disaster Supplemental Annual Report Module 4	CSBG Disaster Supplemental Annual Report Module 4 (Clean).xlsx	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: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	1,425	1,425
Annual IC Cost Burden (Dollars)	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.