Information Collection

serve.gov Stories of Service

IC 191238 under ICR 201201-3045-002 · OMB 3045-0122.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0122 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 serve.gov Stories of Service	Form and Instruction
1 serve.gov Registration Questions Serve.gov Registration Questions.doc www.serve.gov	Form and Instruction

IC Title:

serve.gov Stories of Service

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 12653

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	serve.gov Registration Questions	Serve.gov Registration Questions.doc	www.serve.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: 50,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-50,000	50,000
Annual IC Time Burden (Hours)	-16,667	16,667
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.