Information Collection

VISTA Training Evaluation Surveys

IC 203495 under ICR 201207-3045-003 · OMB 3045-0148.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 VISTA Training Evaluation Surveys	Form and Instruction
1 Alumni Survey Alumni Survey 3-26-2012.docx www.nationalservice.gov	Form and Instruction
2 Early Terminator Survey Early Term Survey 3-27-2012.docx www.nationalservice.gov	Form and Instruction
3 Supervisor Survey Supervisor Survey 3-26-2012.docx www.nationalservice.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	Alumni Survey	Alumni Survey 3-26-2012.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	2	Early Terminator Survey	Early Term Survey 3-27-2012.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	3	Supervisor Survey	Supervisor Survey 3-26-2012.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: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	600	600
Annual IC Time Burden (Hours)	300	300
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.