Post-Expenditure Reporting Form

Social Services Block Grant (SSBG) Post-Expenditure Report, Pre-Expenditure and Intended Use Plan

Documents and Forms

Document Name Document Type
Form 1 Post-Expenditure Reporting Form Form
Instructions for SSBG Reporting Form.pdf Instruction
Instructions for SSBG Reporting Form.pdf Instruction
1 SSBG Post-Expenditure Reporting Form SSBG Post-Expenditure Report.xlsx Form
1 SSBG Post-Expenditure Reporting Form SSBG Post-Expenditure Report.xlsx Form

Information Collection (IC) Details

IC Title:	Post-Expenditure Reporting Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 96.74

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	SSBG Post-Expenditure Reporting Form	SSBG Post-Expenditure Report.xlsx		Yes	Yes	Fillable Fileable
Instruction			Instructions for SSBG Reporting Form.pdf		Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	57	1	56
Annual IC Time Burden (Hours)	6,270	110	6,160
Annual IC Cost Burden (Dollars)	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.