Information Collection

Senior Corps Surveys

IC 203076 under ICR 201207-3045-001 · OMB 3045-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Senior Corps Surveys	Form and Instruction
1 Client Survey SCP Independent Living Survey FINAL.doc	Form and Instruction
2 Caregiver Survey SCP Respite Survey with FINAL.doc	Form and Instruction
3 Volunteer Survey Senior Corps Volunteer Performance Measure Survey FINAL.docx	Form and Instruction

IC Title:

Senior Corps Surveys

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 5056

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	Client Survey	SCP Independent Living Survey FINAL.doc	No	Paper Only
Form and Instruction	2	Caregiver Survey	SCP Respite Survey with FINAL.doc	No	Paper Only
Form and Instruction	3	Volunteer Survey	Senior Corps Volunteer Performance Measure Survey FINAL.docx	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120,000	120,000
Annual IC Time Burden (Hours)	60,000	60,000
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.