VISTA Webinar Customer Feedback

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0137 can be found here:

Documents and Forms

Document Name Document Type
Form 1 VISTA Webinar Customer Feedback Form and Instruction
1 Exit Survey for Completers VISTA 101 survey questions 4 completers.doc www.nationalservice.gov Form and Instruction
2 Exit Survey for Non-Completers VISTA 101 survey questions 4 early exiters (3).doc www.nationalservice.gov Form and Instruction
OMB Generic Clearance Submission - VISTA 101 Completers.docx VISTA Webinar Fast Track Template--Completers IC Document
OMB Generic Clearance Submission - VISTA 101 Non-Completers.docx VISTA Webinar Fast Track Template--Non-Completers IC Document

Information Collection (IC) Details

IC Title:	VISTA Webinar Customer Feedback	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Exit Survey for Completers	VISTA 101 survey questions 4 completers.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	2	Exit Survey for Non-Completers	VISTA 101 survey questions 4 early exiters (3).doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 405	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	405	405
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
VISTA Webinar Fast Track Template--Completers	OMB Generic Clearance Submission - VISTA 101 Completers.docx	06/05/2012
VISTA Webinar Fast Track Template--Non-Completers	OMB Generic Clearance Submission - VISTA 101 Non-Completers.docx	06/05/2012

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