Information Collection

CSBG CARES Annual Report: Grantees

IC 244531 under ICR 202104-0970-009 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 1 CSBG CARES Annual Report: Grantees	Form and Instruction
Form 1 CSBG CARES Supplemental Annual Report Module 1 CSBG CARES Annual Report: Grantees	Form and Instruction
Form 2 CSBG CARES Supplemental Annual Report Module 2 CSBG CARES Annual Report: Grantees	Form and Instruction
Form 4 CSBG CARES Supplemental Annual Report Module 4 CSBG CARES Annual Report: Grantees	Form and Instruction
1 CSBG CARES Supplemental Annual Report Module 1 CSBG CARES Supplemental Annual Report Module 1 (Clean).docx	Form and Instruction
1 CSBG CARES Supplemental Annual Report Module 1 CSBG CARES Supplemental Annual Report Module 1 (Clean).docx	Form and Instruction
2 CSBG CARES Supplemental Annual Report Module 2 CSBG CARES Supplemental Annual Report Module 2 (Clean) 4.23.21.xlsm	Form and Instruction
2 CSBG CARES Supplemental Annual Report Module 2 CSBG CARES Supplemental Annual Report Module 2 (Clean).xlsm	Form and Instruction
4 CSBG CARES Supplemental Annual Report Module 4 CSBG CARES Supplemental Annual Report Module 4 (Clean) 4.16.21.xlsx	Form and Instruction
4 CSBG CARES Supplemental Annual Report Module 4 CSBG CARES Supplemental Annual Report Module 4 (Clean) 4.16.21.xlsx	Form and Instruction

IC Title:

CSBG CARES Annual Report: Grantees

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	CSBG CARES Supplemental Annual Report Module 1	CSBG CARES Supplemental Annual Report Module 1 (Clean).docx	Yes	Yes	Fillable Fileable
Form and Instruction	2	CSBG CARES Supplemental Annual Report Module 2	CSBG CARES Supplemental Annual Report Module 2 (Clean).xlsm	Yes	Yes	Fillable Fileable
Form and Instruction	4	CSBG CARES Supplemental Annual Report Module 4	CSBG CARES Supplemental Annual Report Module 4 (Clean) 4.16.21.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: 52

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	52	52
Annual IC Time Burden (Hours)	5,564	5,564
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.