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CSBG Annual Report 3.0 Tribal Annual Report (Tribes)
Community Services Block Grant (CSBG) Annual Report
OMB: 0970-0492
IC ID: 269018
OMB.report
HHS/ACF
OMB 0970-0492
ICR 202410-0970-006
IC 269018
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0492 can be found here:
2024-10-10 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 3.0 - Tribal Full
CSBG Annual Report 3.0 Tribal Annual Report (Tribes)
Form and Instruction
3.0 - Tribal Full CSBG Annual Report 3.0 Tribal Annual Report
REP_CSBG Annual Report 3.0 Tribal Annual Report Form_OMB 0970-0492_FY2025_updated.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CSBG Annual Report 3.0 Tribal Annual Report (Tribes)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
3.0 - Tribal Full
CSBG Annual Report 3.0 Tribal Annual Report
REP_CSBG Annual Report 3.0 Tribal Annual Report Form_OMB 0970-0492_FY2025_updated.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:
24
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
24
0
0
0
0
24
Annual IC Time Burden (Hours)
2,664
0
0
0
0
2,664
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.