Senior Corps Surveys

ICR 201207-3045-001

OMB: 3045-0146

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supporting Statement A
2012-07-09
IC Document Collections
IC ID
Document
Title
Status
203076 New
ICR Details
3045-0146 201207-3045-001
Historical Active
CNCS
Senior Corps Surveys
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 10/15/2012
Retrieve Notice of Action (NOA) 07/09/2012
  Inventory as of this Action Requested Previously Approved
10/31/2015 36 Months From Approved
120,000 0 0
60,000 0 0
0 0 0

CNCS is seeking approval of the Senior Corps Performance Measures Surveys which is used by Foster Grandparent and Senior Companion Program grantees (required) and by RSVP grantees (voluntary/optional) to collect performance data related to independent living and benefits to the volunteers who serve.

US Code: 42 USC 5056 Name of Law: Domestic Volunteer Service Act
  
None

Not associated with rulemaking

  76 FR 76697 12/08/2011
77 FR 36261 06/18/2012
Yes

1
IC Title Form No. Form Name
Senior Corps Surveys 1, 2, 3 Client Survey ,   Caregiver Survey ,   Volunteer Survey

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 120,000 0 0 120,000 0 0
Annual Time Burden (Hours) 60,000 0 0 60,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Net burden has increased because this is a new information collection request.

No
No
No
No
No
Uncollected
Amy Borgstrom 202 606-6930 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/09/2012


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