Information Collection

CSBG ACSI Survey of Eligible Entities

IC 226996 under ICR 202407-0970-002 · OMB 0970-0382.

Documents and Forms

Document Name Document Type
CSBG ACSI Eligible Entity Survey Instrument.docx Other-Survey
CSBG ACSI Eligible Entity Survey Instrument.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CSBG ACSI Survey of Eligible Entities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Survey			CSBG ACSI Eligible Entity Survey Instrument.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	667	331	336
Annual IC Time Burden (Hours)	100	-11	111
Annual IC Cost Burden (Dollars)	0	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.