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CSBG IM No. 80 Application for CSBG Funds FY 2005

Published: May 31, 2004
Community Services Block Grants (CSBG)
Guidance, Policies, Procedures, Information Memorandums (IM)



Indian Tribes and Tribal Organizations



Application for Fiscal Year 2005 Community Services Block Grant Program (CSBG) Funds Based on the Availability of Funds



Community Services Block Grant Act, Title VI, Subtitle B, of the Omnibus Budget Reconciliation Act of 1981, Public Law 97-35, as amended; Human Services Amendments of 1994, P.L.103-252; the FY 1996 CSBG Appropriation Legislation, P.L.104-134; C.F.R. Title 45, Part 96; Coats Human Services Reauthorization Act of 1998, P. L. 105-285, Department of Health and Human Services Block Grant Regulations and Current Poverty Income Guidelines.



To inform Indian Tribes and Tribal Organizations of the CSBG application requirements for FY 2005.



Indian Tribes/Tribal Organizations may apply for funding under the Community Services Block Grant Act by submitting an application that meets the requirements of Sections 676 and 677 of the Act. The Human Services Reauthorization Act of 1998 created additional requirements and responsibilities for CSBG grantees and the Federal Government. There is increased focus on outcomes, fiscal accountability, monitoring and reporting.



CSBG applications for FY 2005 must be postmarked by September 1, 2004. (If you did not previously submit an application which covered two fiscal years.) Indian Tribes and Tribal Organizations now have the option of submitting CSBG applications for a two-year or one-year period. A Federally or State-recognized Indian Tribe or Tribal organization interested in receiving CSBG funds directly must submit an application not later than September 1, 2004. Applications postmarked later than September 1, 2004, will be ineligible for direct funding from the Office of Community Services, unless written approval has been obtained from the respective State Community Services Block Grant Administrator. Written approval must be submitted with any application postmarked after the September 1, 2004 due date. Late applications for Fiscal Year 2005 CSBG funds that do not contain the required written approval will be returned to you.



A complete CSBG application should contain:

  1. Specific assurances certified by the Chief Executive Officer(CEO) of the Tribe/Tribal Organization, which contain the language precisely as it appears in Subsection 676(b) of the CSBG Act. Certifications must show original signatures and be signed by the CEO. If the CEO has delegated this responsibility, a written confirmation of such a delegation signed by the CEO must be submitted with the application.
  2. Evidence that the Tribal CSBG Plan was made available for public review and comment in conjunction with development of the plan as required by Section 676(e)(2) of the CSBG Act.
  3. A plan -- a narrative description of the manner in which the Indian Tribe will carry out the required legislative assurances. The plan should include: (1) a statement of goals and objectives, (2) information on the specific types of activities to be supported to carry out both programmatic and administrative assurances, (3) areas and categories of individuals to be served, and (4) the criteria and method used for the distribution of funds.

    Section 676(b) contains the required assurances to which the Tribe must certify. Assurances must contain the language precisely as it appears in Section 676(b) of the CSBG Act. Please review the Tribal plan to ensure that all of the required assurances are addressed. Do not assume that any assurance is self-explanatory. Tribes are required to implement at least one of the programmatic assurances contained in Subsections 676(b)(1)(A) through (C). If funds are used to address more than one programmatic assurance, do include each of the assurances.
  4. An Annual Report must be submitted with the 2005 Plan for all FY 2004 CSBG activities. The Annual Report--(previously referred to as the prior year report ) -- is a narrative description of how the Tribe met its CSBG goals and objectives and information on the types of projects supported with FY 2004 CSBG funds. Specifically, Annual Reports should contain accomplishments of projects and activities relating to the required assurances supported with CSBG funds received for Fiscal Year 2004. Annual reports must contain outcome data that addresses the implementation of the national goals. We recognize that many Tribal programs have different program years; however, to the extent possible, reports should address the use and distribution of the FY 2004 allocation (CSBG grant awards received during the period of October 1, 2003 through September 30, 2004).

    Note: If the Tribe chooses to submit a CSBG application which covers a two-year period, the Tribe will be required to submit an annual report on the use of the previous year's CSBG funds in order to receive CSBG funds for the next fiscal year. The report can be in the form of a letter that outlines accomplishments contained in item number(4) above. The letter should also state that the second year plan is still applicable.
  5. Administrative Requirements --Indicate the date of the last audit undertaken and the period for which the audit covers in compliance with the Single Audit Act of 1984 (P.L. 98-502). Include the required certifications regarding Anti-Lobbying, Drug Abuse, Debarment and Suspension and the Environmental Tobacco Smoke, also known as the Pro-Children Act of 1994, P.L. 103-227.


Department of Health and Human Services
Administration for Children and Families
Office of Community Services
Division of State Assistance
Community Services Block Grant Program
370 L'Enfant Promenade S.W., 5th Floor West
Washington, D.C. 20447

Please send an original and one copy of the Tribe's FY 2005 CSBG application. If you need additional information, contact the CSBG Program Manager assigned to the Region/State in which the Tribe/Tribal organization is located. A listing of the CSBG Program Managers is attached.





Margaret Washnitzer, D.S.W.
Director, Division of State Assistance
Office of Community Services




Attachments: (not posted)
- CSBG Program Manager Listing
- Information Data Collection Form
- Poverty Guidelines
- Federal Certifications
- Lobbying
- Debarment/Suspension
- Drug Free Work Place
- Environmental Tobacco Smoke