AmeriCorps Opportunity Youth Evaluation Bundling Pilot

Generic Information Collection Request for Test and Pilot Data

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0163 can be found here:

Documents and Forms

Document Name Document Type
Form 1 AmeriCorps Opportunity Youth Evaluation Bundling Pilot Form and Instruction
1 Bundling Survey Communications Pilot Test Bundling Survey Communications Pilot Test Version draft 20150204_CNCS edited.docx www.nationalservice.gov Form and Instruction
Generic Clearance Submission Template Final_OY Eval Bundling_2 10 15 (2).docx Opportunity Youth Bundling Pilot Submission Template IC Document

Information Collection (IC) Details

IC Title:	AmeriCorps Opportunity Youth Evaluation Bundling Pilot	Agency IC Tracking Number:

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 and Instruction	1	Bundling Survey Communications Pilot Test	Bundling Survey Communications Pilot Test Version draft 20150204_CNCS edited.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: 75	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Opportunity Youth Bundling Pilot Submission Template	Generic Clearance Submission Template Final_OY Eval Bundling_2 10 15 (2).docx	02/10/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.