Information Collection

National Survey of STAC: Surveys

IC 213103 under ICR 201409-3045-001 · OMB 3045-0164.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0164 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 STAC Grantee Survey National Survey of STAC: Surveys	Form and Instruction
Form 2 STAC Member Survey National Survey of STAC: Surveys	Form and Instruction
Form 3 STAC School Leader Survey National Survey of STAC: Surveys	Form and Instruction
Form 4 STAC Teacher Counselor Survey National Survey of STAC: Surveys	Form and Instruction
1 STAC Grantee Survey Survey_Grantee_30day.docx	Form and Instruction
2 STAC Member Survey Survey_Member_30day.docx	Form and Instruction
3 STAC School Leader Survey Survey_SchoolLeader_30day.docx	Form and Instruction
4 STAC Teacher Counselor Survey Survey_TeacherCounselor_30day.docx	Form and Instruction

IC Title:

National Survey of STAC: Surveys

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	2	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	3	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	4	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: 1,273

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	1,273	1,273
Annual IC Time Burden (Hours)	2,093	2,093
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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