Information Collection

Alumni Outcomes Pilot Survey

IC 219510 under ICR 201406-3045-006 · OMB 3045-0163.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Alumni Outcomes Pilot Survey

Agency IC Tracking Number:

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 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 %

table that charts list of burden
	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

table that charts IC Documents
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.