Information Collection

National Language Service Corps Pilot

IC 185578 under ICR 200901-0704-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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 dd2932t.pdf	Form
DD Form x559 Detailed Skilled Self-Assessment dd2933t.pdf	Form
DD Form x560 Global Self Assessment dd2934t.pdf	Form
DD Form x561 Language Data Sheet dd2935t.pdf	Form

IC Title:

National Language Service Corps Pilot

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
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
Form	DD Form x558	NLSC Application	dd2932t.pdf	Yes	Yes	Fillable Fileable
Form	DD Form x559	Detailed Skilled Self-Assessment	dd2933t.pdf	Yes	Yes	Fillable Fileable
Form	DD Form x560	Global Self Assessment	dd2934t.pdf	Yes	Yes	Fillable Fileable
Form	DD Form x561	Language Data Sheet	dd2935t.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

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: DHRA 07

FR Citation: 73 FR 52839

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	Previously Approved
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
No associated records found

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