Information Collection

SIF Pay for Success Application Instructions

IC 211928 under ICR 201406-3045-007 · OMB 3045-0160.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 SIF Pay for Success Application Instructions	Form and Instruction
1 SIF Pay for Success Application Instructions 2014 SIF PFS Application Instructions 25June2014.docx www.nationalservice.gov	Form and Instruction
Emergency Clearance Memo SIF PFS 4.24.14.docx Emergency Request Memo	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	SIF Pay for Success Application Instructions	2014 SIF PFS Application Instructions 25June2014.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Emergency Request Memo	Emergency Clearance Memo SIF PFS 4.24.14.docx	06/17/2014

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