Information Collection

Learn and Serve America Grantee Progress Report

IC 179863 under ICR 201005-3045-001 · OMB 3045-0089.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0089 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Learn and Serve America Grantee Progress Report	Form and Instruction
1 2010 Progress Report Progress Report Guidance July 21, 2010.doc www.nationalservice.gov	Form and Instruction

IC Title:

Learn and Serve America Grantee Progress Report

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	2010 Progress Report	Progress Report Guidance July 21, 2010.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 175

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	350	248	102
Annual IC Time Burden (Hours)	700	496	204
Annual IC Cost Burden (Dollars)	0	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.