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Community Services Block Grant (CSBG) Work Plan Template
Generic for ACF Program Monitoring Activities
OMB: 0970-0558
IC ID: 260658
OMB.report
HHS/ACF
OMB 0970-0558
ICR 202307-0970-014
IC 260658
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:
2023-10-10 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
COMM_CSBG Work Plan Template_Final_OPRE_fnl 6.14.23.docx
Other-Template
COMM_CSBG Work Plan Template_Final_OPRE_fnl 6.14.23.docx
Other-Template
Submission Form - CSBG Work Plan Template_Monitoring GenIC _0970-0558_OPRE_fnl 6.14.23.docx
Monitoring GenIC - CSBG Work Plan
IC Document
Submission Form - CSBG Work Plan Template_Monitoring GenIC _0970-0558_OPRE_fnl 6.14.23.docx
Monitoring GenIC - CSBG Work Plan
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Community Services Block Grant (CSBG) Work Plan Template
Agency IC Tracking Number:
OCS
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Template
COMM_CSBG Work Plan Template_Final_OPRE_fnl 6.14.23.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
20
0
0
0
0
20
Annual IC Time Burden (Hours)
65
0
0
0
0
65
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Monitoring GenIC - CSBG Work Plan
Submission Form - CSBG Work Plan Template_Monitoring GenIC _0970-0558_OPRE_fnl 6.14.23.docx
06/14/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.