Information Collection

Learn and Serve America School and Community-Based Application Instructions

IC 29243 under ICR 200807-3045-002 · OMB 3045-0045.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Learn and Serve America School and Community-Based Application Instructions	Form and Instruction
1 LSA Community-based Application LSA S&CB Application Instructions-2009.doc www.nationalservice.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	LSA Community-based Application	LSA S&CB Application Instructions-2009.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 450

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	450	50	400
Annual IC Time Burden (Hours)	3,600	-400	4,000
Annual IC Cost Burden (Dollars)	180,000,000	20,000,000	160,000,000

Documents for IC

table that charts IC Documents
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.