Community Services Block Grant (CSBG) Model State Plan Applications

OMB 0970-0382

OMB 0970-0382

The Community Services Block Grant (CSBG) Model Plan Application is used as the plan submitted to ACF by States, Territories, Tribes and Tribal Organizations for the receipt of Federal funds to administer a CSBG program. The information collected is required by the CSBG Statute for the receipt of CSBG program funds. The Office of Community Services (OCS) recently received CARES Act supplemental money through the CSBG program and created a supplemental application for grantees submit to apply for supplemental funding. The supplemental state plan application is based on the approved standard CSBG State Plan application. The main difference is that the application for the supplemental has fewer questions/less information. This nonsubstantive change request if for minor updates to the supplemental applications.

The latest form for Community Services Block Grant (CSBG) Model State Plan Applications expires 2021-06-30 and can be found here.

OMB Details

ACSI CSBG Eligible Entity Survey

Federal Enterprise Architecture: Community and Social Services - Social Services

Form 1ACSI Survey of Eligible EntitiesFillable PrintableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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