Information Collection

Day of Service Tracking Questions

IC 200765 under ICR 201208-3045-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 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
2 Revised Day of Service Questions Day of Service Tracking Tool Qs Final for Submission 8.24.12.docx www.nationalservice.gov	Form and Instruction

IC Title:

Day of Service Tracking Questions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	1	Day of Service Tracking Tool Questions	Day of Service Tracking Tool Qs Final for Submission.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	2	Revised Day of Service Questions	Day of Service Tracking Tool Qs Final for Submission 8.24.12.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 %

table that charts list of burden
	Requested	Previously Approved
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

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.