OMB control number
Application for Older Americans Act, Title VI Parts A/B and C Grants
OMB 0985-0064 · HHS/ACL.
OMB 0985-0064
The Administration for Community Living (ACL) is responsible for administering the Title VI A/B (Nutrition and Supportive Service) and C (Caregiver) grants. The purpose of this data collection is to improve and standardize the format of the application. The instrument will collect data as prescribed by the Older Americans Act Section 612(a), 614(a) and 45 CFR 1326.19 related to the eligibility of Federally-recognized Tribes and Native Hawaiian organizations for grant funds under this program and their capacity to deliver services to elders. The Application for Older Americans Act, Title VI A/B and C Grants collects information on the ability of federally-recognized American Indian, Alaskan Native and Native Hawaiian organizations to provide nutrition, supportive, and caregiver services to elders within their service area. Applicants are required to provide a description of their organization’s service area, the number of eligible elders in their service area, and their ability to deliver services and sign assurances that the organization will comply with all applicable laws and regulations.
The latest form for Application for Older Americans Act, Title VI Parts A/B and C Grants expires 2022-09-30 and is listed under ICR 201907-0985-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Title VI Part C Grant Application | Form and Instruction |
| Title VI Parts A/B and C Grant Application | Form and Instruction |
 0064 Title VI App SS JA-TC Final.docx | Supporting Statement A |
 Title VI Part C Grant Application |
Form and Instruction |
| Title VI Parts A/B and C Grant Application |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202206-0985-001 | Extension without change of a currently approved collection | 2022-09-30 | Approved without change | |
| 201907-0985-001 | New collection (Request for a new OMB Control Number) | 2019-08-13 | Approved without change |
OMB Details
Title VI Parts A/B Grant Application
Federal Enterprise Architecture: Community and Social Services - Social Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form NA | Title VI Parts A/B Grant Application | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.