Alumni Outcomes Pilot Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 Alumni Outcomes Pilot Survey Form and Instruction
1 Alumni Outcome Survey 2015-16 Alumni Outcome Survey Final for 60 Day.docx www.nationalservice.gov Form and Instruction
Generic Clearance Submission Template for Pilot Final_AlumniOutcomes2015_revised.docx Alumni Outcomes Survey Pilot Submission Template IC Document

Information Collection (IC) Details

IC Title:	Alumni Outcomes Pilot Survey	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	Alumni Outcome Survey	2015-16 Alumni Outcome Survey Final for 60 Day.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: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	63	63
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Alumni Outcomes Survey Pilot Submission Template	Generic Clearance Submission Template for Pilot Final_AlumniOutcomes2015_revised.docx	01/06/2016

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