Information Collection

Community Services Block Grant (CSBG) Work Plan Template

IC 262701 under ICR 202604-0970-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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
NOA_OCS CSBG Work Plan_Monitoring GenIC_0970-0558_6.27.23.pdf NOA - CSBG Work Plan	IC Document
NOA_OCS CSBG Work Plan_Monitoring GenIC_0970-0558_6.27.23.pdf NOA - CSBG Work Plan	IC Document

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template					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: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	65	65
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Monitoring GenIC - CSBG Work Plan		10/05/2023
NOA - CSBG Work Plan		10/05/2023

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

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