Information Collection

Day of Service Tracking Questions

IC 200765 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 Day of Service Tracking Questions Form
1 Day of Service Tracking Tool Questions Day of Service Tracking Tool Qs Final for Submission.docx www.nationalservice.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Day of Service Tracking Questions	Agency IC Tracking Number:

Is this a Common Form? No		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	1	Day of Service Tracking Tool Questions	Day of Service Tracking Tool Qs Final for Submission.docx	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: 100,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	16,667	16,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.