Information Collection

Community Services Block Grant (CSBG) Training and Technical Assistance Tracking Form

IC 263812 under ICR 202501-0970-003 · OMB 0970-0558.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 CSBG Training and Technical Assistance Tracking Form Community Services Block Grant (CSBG) Training and Technical Assistance Tracking Form	Form
1 CSBG Training and Technical Assistance Tracking Form COMM_CSBG TTA Tracking Form_FINAL_Clean.docx	Form
COMM_Submission Form_CSBG CSBG TTA Tracking Form_Monitoring GenIC_FINAL_Clean.docx Monitoring GenIC - CSBG Training and Technical Assistance Tracking Form	IC Document

IC Title:

Community Services Block Grant (CSBG) Training and Technical Assistance Tracking Form

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	1				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: 20

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	80	80
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Monitoring GenIC - CSBG Training and Technical Assistance Tracking Form		12/06/2023

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

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