OMB control number

Community Services Block Grant (CSBG) Annual Report

OMB 0970-0492 · HHS/ACF.

OMB 0970-0492

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. In alignment with the Executive Orders, Initial Rescissions of Harmful Executive Orders and Actions, and Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government the Office of Community Services is requesting a change request to remove language related to diversity, equity, and inclusion (DEI) and update gender collected data to denote sex as a biological variable in current approved information collection requests to comply with the directives.

The latest form for Community Services Block Grant (CSBG) Annual Report expires 2027-12-31 and is listed under ICR 202502-0970-008.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 3.0 CSBG Annual Report - 3.0 versionForm and Instruction
Form 3.0 CSBG Annual Report 3.0 (Eligible Entities)Form and Instruction
Form 3.0 CSBG Annual Report - 3.0 versionForm and Instruction
Form 3.0 CSBG Annual Report 3.0 (States)Form and Instruction
Form 3.0 - Tribal Short CSBG Annual Report 3.0 Tribal Annual Report Short FormForm and Instruction
Form 3.0 - Tribal Short CSBG Annual Report 3.0 Tribal Short Form (Tribes)Form and Instruction
Form 3.0 - Tribal Full CSBG Annual Report 3.0 Tribal Annual ReportForm and Instruction
Form 3.0 - Tribal Full CSBG Annual Report 3.0 Tribal Annual Report (Tribes)Form and Instruction
Form 2.1 CSBG Annual Report - FY25Form and Instruction
Form 2.1 CSBG Annual Report 2.1 (Eligible Entities)Form and Instruction
Form 2.1 CSBG Annual Report - FY25Form and Instruction
Form 2.1 CSBG Annual Report 2.1 (States)Form and Instruction
ADMIN_NonSub Change Request_CSBG Annual Report_020425.docxJustification for No Material/Nonsubstantive Change
ADMIN_NonSub Change Request_CSBG Annual Report_020425.docx Justification for No Material/Nonsubstantive Change
RPT_Summary of changes to AR 3.0_121324_fnl.docxSupplementary Document
RPT_Summary of changes to AR 3.0_121324_fnl.docx Supplementary Document
REP_CSBG_FRN Comment Workbook_100324.xlsxSupplementary Document
REP_CSBG_FRN Comment Workbook_100324.xlsx Supplementary Document
CSBG_AR OMB Supporting Statement_OMB 0970 0492_FY2025_3.0_100324.docxSupporting Statement A
CSBG_AR OMB Supporting Statement_OMB 0970 0492_FY2025_3.0_100324.docxSupporting Statement A
CSBG Annual Report 3.0 (Eligible Entities) Form and Instruction
CSBG Annual Report 3.0 (Eligible Entities) Form and Instruction
CSBG Annual Report 3.0 (States) Form and Instruction
CSBG Annual Report 3.0 (States) Form and Instruction
CSBG Annual Report 3.0 Tribal Short Form (Tribes) Form and Instruction
CSBG Annual Report 3.0 Tribal Short Form (Tribes) Form and Instruction
CSBG Annual Report 3.0 Tribal Annual Report (Tribes) Form and Instruction
CSBG Annual Report 3.0 Tribal Annual Report (Tribes) Form and Instruction
CSBG Annual Report 2.1 (Eligible Entities) Form and Instruction
CSBG Annual Report 2.1 (Eligible Entities) Form and Instruction
CSBG Annual Report 2.1 (States) Form and Instruction
CSBG Annual Report 2.1 (States) Form and Instruction

OMB Details

CSBG Annual Report 2.1 (States)

Federal Enterprise Architecture: Community and Social Services - Social Services

Information collection instruments
FormNameElectronic accessType
Form 2.1CSBG Annual Report - FY25Fillable FileableForm and instruction

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