Information Collection

CSBG CARES Annual Report: Grantees

IC 244531 under ICR 202406-0970-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 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).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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CSBG CARES Annual Report: Grantees	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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 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 %

	Program Change Due to Agency Discretion	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

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.