Information Collection

Community Services Block Grant (CSBG) Grant Recipient Satisfaction Survey 2023

IC 258180 under ICR 202305-0970-012 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ADMIN_CSBG_Satisfaction Survey Instrument_States.docx	Other-Survey
ADMIN_CSBG_Satisfaction Survey Instrument_States.docx	Other-Survey
Fast Track Generic Submission - OCS CSBG Satisfaction Survey.docx Template for Community Services Block Grant (CSBG) Grant Recipient Satisfaction Survey	IC Document
Fast Track Generic Submission - OCS CSBG Satisfaction Survey.docx Template for Community Services Block Grant (CSBG) Grant Recipient Satisfaction Survey	IC Document

IC Title:

Community Services Block Grant (CSBG) Grant Recipient Satisfaction Survey 2023

Agency IC Tracking Number:

OCS

IC Status: Unchanged

Obligation to Respond: Voluntary

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
Other-Survey			ADMIN_CSBG_Satisfaction Survey Instrument_States.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: 118

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	118	118
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template for Community Services Block Grant (CSBG) Grant Recipient Satisfaction Survey	Fast Track Generic Submission - OCS CSBG Satisfaction Survey.docx	02/01/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.