Information Collection

Learn and Serve America Program and Performance Reporting System (LASSIE)

IC 29326 under ICR 201006-3045-005 · OMB 3045-0095.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Learn and Serve America Program and Performance Reporting System (LASSIE)	Form and Instruction
1 LASSIE Survey K12 HED CBO 2011 LASSIE Survey K12 HED CBO Grants 09 08 10.doc www.lsareports.org/	Form and Instruction
2 LASSIE Survey Summer of Service 2010 LASSIE Survey Summer of Service 09 08 10.doc www.lsareports.org/	Form and Instruction
3 LASSIE Survey YEZ 2011 LASSIE Survey Youth Engagement Zone 09 08 10.doc www.lsareports.org/	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	2	LASSIE Survey Summer of Service	2010 LASSIE Survey Summer of Service 09 08 10.doc	http://www.lsareports.org/	Yes	Yes	Fillable Fileable
Form and Instruction	1	LASSIE Survey K12 HED CBO	2011 LASSIE Survey K12 HED CBO Grants 09 08 10.doc	http://www.lsareports.org/	Yes	Yes	Fillable Fileable
Form and Instruction	3	LASSIE Survey YEZ	2011 LASSIE Survey Youth Engagement Zone 09 08 10.doc	http://www.lsareports.org/	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: 1,800

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	1,800	-300	2,100
Annual IC Time Burden (Hours)	1,800	-225	2,025
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.