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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Community Conversations 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	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 %

	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

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.