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Community Services Block Grant (CSBG) Grant Recipient Satisfaction Survey 2023
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 258180
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202303-0970-007
IC 258180
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:
2024-09-25 - No material or nonsubstantive change to a currently approved collection
2024-09-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
ADMIN_CSBG_Satisfaction Survey Instrument_States.docx
Other-Survey
ADMIN_CSBG_Satisfaction Survey Instrument_States.docx
Other-Survey
Fast Track Generic Submission - OCS CSBG Satisfaction Survey.docx
Template for Community Services Block Grant (CSBG) Grant Recipient Satisfaction Survey
IC Document
Fast Track Generic Submission - OCS CSBG Satisfaction Survey.docx
Template for Community Services Block Grant (CSBG) Grant Recipient Satisfaction Survey
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Community Services Block Grant (CSBG) Grant Recipient Satisfaction Survey 2023
Agency IC Tracking Number:
OCS
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
ADMIN_CSBG_Satisfaction Survey Instrument_States.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
118
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
118
0
0
0
0
118
Annual IC Time Burden (Hours)
24
0
0
0
0
24
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Template for Community Services Block Grant (CSBG) Grant Recipient Satisfaction Survey
Fast Track Generic Submission - OCS CSBG Satisfaction Survey.docx
02/01/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.