Information Collection

Community Conversations Pilot

IC 221771 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⚠️ Notice: This information collection may be referencing outdated material.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 Community Conversations Pilot	Form and Instruction
1 Questions for Community Conversations Pilot Questions for Community Conversations Final.docx www.nationalservice.gov	Form and Instruction
Pilot Generic Clearance Submission_Commuity Conversations_Approved.docx Submission Worksheet for Community Conversations Pilot	IC Document

IC Title:

Community Conversations Pilot

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	Questions for Community Conversations Pilot	Questions for Community Conversations Final.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: 250

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	250	250
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
Submission Worksheet for Community Conversations Pilot	Pilot Generic Clearance Submission_Commuity Conversations_Approved.docx	06/02/2016

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