The following forms are for use by eligible entities only.
Upcoming Dates
- Oct. 19—Quarterly Conference Call
- Oct. 29—Quarterly/Desk Monitoring Reimbursement Request Due
- Oct. 30—Budgets Due
- Nov. 30—Monthly Reimbursement Request Due
- December 15—Activity Spreadsheets Due
- Dec. 30—Monthly Reimbursement Request Due
- Dec. 31—2021 Program Year Ends
Federal Guidelines
2021 Poverty Guidelines for the 48 Continental United States
| Number of Persons in Family/Household | 100% Federal Poverty Level | 200% of Federal Poverty Level (Effective through 12/3/2021) |
125% of Federal Poverty Level (Effective after 12/3/2021) |
| 1 | $12,880 | $25,760 | $16,100 |
| 2 | $17,420 | $34,840 | $21,775 |
| 3 | $21,960 | $43,920 | $27,450 |
| 4 | $26,500 | $53,000 | $33,125 |
| 5 | $31,040 | $62,080 | $38,800 |
| 6 | $35,580 | $71,160 | $44,475 |
| 7 | $40,120 | $80,240 | $50,150 |
| 8 | $44,660 | $89,320 | $55,825 |
| Add $4,540 for each additional person | For families/households with more than 8 persons add $9,080 | For families/households with more than 8 persons add $5,675 |
Federal Mileage Rate effective January 1, 2021: 56 cents per mile.
Informational Memoranda
- COCSBG - IM - 2020-1 - CSBG Response to COVID-1
- COCSBG - IM - 2020-2 - Client Income Eligibility Levels
- COCSBG - IM - 2020-2b - Client Income Eligibility Levels
- COCSBG - IM - 2020-3 - CARES Act Fund Awards
- COCSBG - IM - 2020-4 - 2021-2023 Contract Application
- COCSBG - IM - 2020-5 - CSBG Formula Update
- COCSBG - IM - 2021-1 - CSBG Program Manual Updates
Calendar
General
- CSBG Program Implementation Manual
- Annual Report System - THO Software Systems
- CSBG 101
2021-2023 CSBG Application Resources
- 2021-2023 CSBG Application Template
- 2021-2023 CSBG Budget Template
- Community Needs Assessment Template
- Tripartite Board Roster Template
- ROMA Trainer/Implementer Certification Form
- Official Board Action Taken Form
- Application Checklist
Community Needs Assessment/Community Action Plans/Application
Forms/Reports/Templates
- Semiannual Program Report
- Request for Reimbursement Form - due monthly for grantees of $100,000+, quarterly for grantees less than $100,000
- Request for Reimbursement Form Instructions
- CSBG 2019 Spending Plan
- 2020 CSBG Budget Template
- CARES Act Budget Template
Organizational Standards
- Organizational Standards Training - Recording
- Organizational Standards CSG Webinar
- Organizational Standards System- Community Software Group
- CSBG Guide to Organizational Standards