# Submission for OMB Review; Community Services Block Grant Annual Report
**AGENCY:**
Office of Community Services; Administration for Children and Families; HHS.
**ACTION:**
Request for public comment.
**SUMMARY:**
The Administration of Children and Families (ACF), Office of Community Services (OCS) is requesting a three-year extension with minor changes of the Community Services Block Grant (CSBG) Annual Report (OMB No.: 0970-0492, expiration 1/31/2020). This request will support the currently utilized CSBG Annual Report, comprised of Modules 1-4, and incorporates performance management.
**DATES:**
*Comments due within 30 days of publication.* OMB is required to make a decision concerning the collection of information between 30 and 60 days after publication of this document in the *Federal Register* . Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication.
**ADDRESSES:**
Written comments and recommendations for the proposed information collection should be sent directly to the following: Office of Management and Budget, Paperwork Reduction Project, Email: *[email protected]* , Attn: Desk Officer for the Administration for Children and Families.
Copies of the proposed collection may be obtained by emailing *[email protected].* Alternatively, copies can also be obtained by writing to the Administration for Children and Families, Office of Planning, Research, and Evaluation (OPRE), 330 C Street SW, Washington, DC 20201, Attn: OPRE Reports Clearance Officer. All requests, emailed or written, should be identified by the title of the information collection.
**SUPPLEMENTARY INFORMATION:**
*Description:* Module 1 includes minor edits to align with the updated, and OMB approved, CSBG State Plan. Module 2, Module 3, and Module 4 include only technical and grammatical updates for ease and clarity of current reporting. Copies of the proposed collection of information can be obtained by visiting: *http://www.acf.hhs.gov/programs/ocs/programs/csbg.*
*Respondents:* State governments, including the District of Columbia and the Commonwealth of Puerto Rico, and U.S. territories and CSBG eligible entities (Community Action Agencies).
*Annual Burden Estimates:*
| Instrument | Annual | Annual | Average | Annual burden hours |
| --- | --- | --- | --- | --- |
| CSBG Annual Report (States) | 52 | 1 | 198 | 10,296 |
| CSBG Annual Report (Eligible Entities) | 1,009 | 1 | 697 | 703,273 |
*Estimated Total Annual Burden Hours:* 713,569.
**Authority:**
112 Stat. 2729; 42 U.S.C. 9902(2).
Mary B. Jones,
ACF/OPRE Certifying Officer.