Community Services Block Grant (CSBG) Annual Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3.0 CSBG Annual Report 3.0 (Eligible Entities)	Form and Instruction	Unchanged	Repair queued
Form 3.0 CSBG Annual Report 3.0 (States)	Form and Instruction	Unchanged	Repair queued
Form 3.0 - Tribal Short CSBG Annual Report 3.0 Tribal Short Form (Tribes)	Form and Instruction	Unchanged	Repair queued
Form 3.0 - Tribal Full CSBG Annual Report 3.0 Tribal Annual Report (Tribes)	Form and Instruction	Unchanged	Repair queued
Form 2.1 CSBG Annual Report 2.1 (Eligible Entities)	Form and Instruction	Unchanged	Repair queued
Form 2.1 CSBG Annual Report 2.1 (States)	Form and Instruction	Unchanged	Missing upstream
REP_CSBG_FRN Comment Workbook_100324.xlsx	Supplementary Document	Uploaded 2024-10-10	Repair queued
CSBG_AR OMB Supporting Statement_OMB 0970 0492_FY2025_3.0_100324.docx	Supporting Statement A	Uploaded 2024-10-04	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
271368	CSBG Annual Report 3.0 (Eligible Entities)	Form and Instruction	Unchanged
271366	CSBG Annual Report 3.0 (States)	Form and Instruction	Unchanged
269019	CSBG Annual Report 3.0 Tribal Short Form (Tribes)	Form and Instruction	Unchanged
269018	CSBG Annual Report 3.0 Tribal Annual Report (Tribes)	Form and Instruction	Unchanged
224195	CSBG Annual Report 2.1 (Eligible Entities)	Form and Instruction	Unchanged
224194	CSBG Annual Report 2.1 (States)	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0970-0492	ICR Reference No: 202410-0970-006
Status: Received in OIRA	Previous ICR Reference No: 202410-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: OCS
Title: Community Services Block Grant (CSBG) Annual Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/10/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2027
Responses	1,110	1,110
Time Burden (Hours)	460,522	460,522
Cost Burden (Dollars)	0	0

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Abstract: The Community Services Block Grant (CSBG) Act (42 U.S.C. § 9901, et seq.) was established under the Community Opportunities, Accountability, and Training and Educational Services Act of 1998, Public Law 105-285. The Office of Community Services (OCS), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS) administers CSBG at the federal level. CSBG provides funds to states and other entities to support services and activities that alleviate the causes and conditions of poverty in communities. Section 678E of the CSBG Act requires states, including the District of Columbia and the Commonwealth of Puerto Rico, and U.S. territories, to annually prepare and submit a report on the measured performance of the state and the eligible entities in the state. Prior to the participation of the state in the performance measurement system, the state shall include in the report any information collected by the state relating to such performance. Each state shall also include in the report an accounting of the expenditure of funds received by the state through the CSBG program, including an accounting of funds spent on administrative costs by the state and the eligible entities, and funds spent by the eligible entities on the direct delivery of local services, and shall include information on the number of and characteristics of clients served under the subtitle in the state, based on data collected from the eligible entities. The state shall also include in the report a summary describing the training and technical assistance offered by the state. Section 3(b) of the Government Performance and Results (GPRA) Modernization Act of 2010 (GPRAMA) requires OCS, as an office under the U.S. Department of Health and Human Services, to collect performance information for the CSBG. This revision request from the Office of Community Services Administration for Children and Families U.S. Department of Health and Human Services includes a significantly revised version of the CSBG Annual Report (CSBG Annual Report 3.0). No changes are proposed to the other information collections currently approved under this OMB number.

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Authorizing Statute(s): PL: Pub.L. 105 - 285 678E(a)(1)(A) and 678E(a)(2) Name of Law: CSBG Act
   PL: Pub.L. 111 - 352 3(b) Name of Law: GPRA Modernization Act of 2010 (GPRAMA)
  

Citations for New Statutory Requirements: US Code: 42 USC 9902(2) Name of Law: Community Services Block Grant Program

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 29339	04/22/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 81918	10/09/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
CSBG Annual Report 2.1 (Eligible Entities)	2.1	CSBG Annual Report - FY25
CSBG Annual Report 2.1 (States)	2.1	CSBG Annual Report - FY25
CSBG Annual Report 3.0 (Eligible Entities)	3.0	CSBG Annual Report - 3.0 version
CSBG Annual Report 3.0 (States)	3.0	CSBG Annual Report - 3.0 version
CSBG Annual Report 3.0 Tribal Annual Report (Tribes)	3.0 - Tribal Full	CSBG Annual Report 3.0 Tribal Annual Report
CSBG Annual Report 3.0 Tribal Short Form (Tribes)	3.0 - Tribal Short Form	CSBG Annual Report 3.0 Tribal Annual Report Short Form

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,110	1,110	0	0	0	0
Annual Time Burden (Hours)	460,522	460,522	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $407,060

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/10/2024

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