Information Collection

AmeriCorps Exit Form Non-bias Survey

IC 209890 under ICR 201103-3045-001 · OMB 3045-0137.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 AmeriCorps Exit Form Non-bias Survey	Form and Instruction
1 AmeriCorps Non-response Bias Survey AC MES NonResponse Bias Questionnaire_12 27 13.pdf www.nationalservice.gov	Form and Instruction
Generic Clearance Submission_AC Member Exit Survey Non-Response Bias.docx Fast Track Justification AC Non-response Bias Survey	IC Document

IC Title:

AmeriCorps Exit Form Non-bias Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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	AmeriCorps Non-response Bias Survey	AC MES NonResponse Bias Questionnaire_12 27 13.pdf	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: 2,000

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
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Justification AC Non-response Bias Survey	Generic Clearance Submission_AC Member Exit Survey Non-Response Bias.docx	12/27/2013

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