Information Collection

National Language Service Corps Pilot

IC 185578 under ICR 200807-0704-001 · OMB 0704-0449.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0449 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form x558 National Language Service Corps Pilot	Form
On-line Inro Screenshots.doc	Other-On-line Screen Shots
NLSC Online Application and Lang Data Sheet Screens.doc	Other-On-line Screen Shots
Online Self Assessment for Listening.doc	Other-On-line Screen Shots
Online Self Assessment for Reading.doc	Other-On-line Screen Shots
Online Self Assessment for Speaking.doc	Other-On-line Sceen Shots
Online Self Assessment for Writing.doc	Other-On-line Screen Shots
DD Form x558 NLSC Application ddx558.pdf	Form
DD Form x559 Detailed Skilled Self-Assessment ddx559.pdf	Form
DD Form x560 Global Self Assessment ddx560.pdf	Form
DD Form x561 Language Data Sheet ddx561.pdf	Form
Deliverable 7 - NLSC CONOPS Plan Final.doc NLSC CONOPS Plan	IC Document
DHRA NLSC SORN 07.doc DHRA NLSC SORN 07	IC Document
Mr. Wennergren signature ltr.pdf Emergency Request Letter	IC Document
PIA_Nlsc Signed.pdf Privacy Impact Assessment	IC Document

IC Title:

National Language Service Corps Pilot

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD Form x558	NLSC Application	ddx558.pdf	Yes	Yes	Fillable Fileable
Form	DD Form x559	Detailed Skilled Self-Assessment	ddx559.pdf	Yes	Yes	Fillable Fileable
Form	DD Form x560	Global Self Assessment	ddx560.pdf	Yes	Yes	Fillable Fileable
Form	DD Form x561	Language Data Sheet	ddx561.pdf	Yes	Yes	Fillable Fileable
Other-On-line Screen Shots			On-line Inro Screenshots.doc	Yes	Yes	Fillable Fileable
Other-On-line Screen Shots			NLSC Online Application and Lang Data Sheet Screens.doc	Yes	Yes	Fillable Fileable
Other-On-line Screen Shots			Online Self Assessment for Listening.doc	Yes	Yes	Fillable Fileable
Other-On-line Screen Shots			Online Self Assessment for Reading.doc	Yes	Yes	Fillable Fileable
Other-On-line Sceen Shots			Online Self Assessment for Speaking.doc	Yes	Yes	Fillable Fileable
Other-On-line Screen Shots			Online Self Assessment for Writing.doc	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	2,200	2,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NLSC CONOPS Plan	Deliverable 7 - NLSC CONOPS Plan Final.doc	07/02/2008
DHRA NLSC SORN 07	DHRA NLSC SORN 07.doc	07/02/2008
Emergency Request Letter	Mr. Wennergren signature ltr.pdf	07/02/2008
Privacy Impact Assessment	PIA_Nlsc Signed.pdf	07/02/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.