Information Collection Request
Community Services Block Grant (CSBG) Program Model Plan Applications
ICR 202302-0970-006 · OMB 0970-0382 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0382 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 1 CSBG State Plan Application for States |
Form and Instruction | Unchanged | Available |
| Form 1 CSBG State Plan Application for States |
Form and Instruction | Unchanged | Repair queued |
| Form 1 CSBG Eligible Entity Master List |
Form and Instruction | Modified | Available |
| Form 1 CSBG Eligible Entity Master List |
Form and Instruction | Modified | Repair queued |
| Form 1 CSBG ACSI Survey of Eligible Entities |
Form and Instruction | Unchanged | Available |
| Form 1 CSBG ACSI Survey of Eligible Entities |
Form and Instruction | Unchanged | Repair queued |
 NonSub Change Request Template_CSBG EE List_0970-0382_021523.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-02-22 | Available |
| NonSub Change Request Template_CSBG EE List_0970-0382_021523.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-02-22 | Repair queued |
| Supporting Statement - CSBG Model State Plan Application OMB 0970-0382_7.27.21 update_cln.docx |
Supporting Statement A | Uploaded 2021-07-28 | Available |
| Supporting Statement - CSBG Model State Plan Application OMB 0970-0382_7.27.21 update_cln.docx |
Supporting Statement A | Uploaded 2021-07-28 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 230742 |  CSBG State Plan Application for States |
Form and Instruction | Unchanged | |
| 230742 | CSBG State Plan Application for States |
Form and Instruction | Unchanged | |
| 230741 | CSBG Eligible Entity Master List |
Form and Instruction | Modified | |
| 230741 | CSBG Eligible Entity Master List |
Form and Instruction | Modified | |
| 226996 | CSBG ACSI Survey of Eligible Entities |
Form and Instruction | Unchanged | |
| 226996 | CSBG ACSI Survey of Eligible Entities |
Form and Instruction | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/ACF |
| OMB Control No | 0970-0382 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202105-0970-018 |
| Agency Tracking No | OCS |
| Date Submitted to OIRA | 2023-02-23 |
| Requested Expiration Date | 1969-12-31 |