Information Collection

National Assessment of SIF Instruments

IC 214653 under ICR 201501-3045-001 · OMB 3045-0169.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5 National Assessment of SIF Instruments	Form and Instruction
1 Survey of 2010-2012 Intermediaries Version 1 - 2015 survey of 2010-2012 SIF Intermediaries 4 16 15.docx	Form and Instruction
2 Survey of 2014 SIF Intermediaries Version 2 - 2015 Survey of 2014 SIF Intermediaries 1_5_2015.docx	Form and Instruction
3 Survey of Non-funded Applicants Version 3 - 2015 Survey of Non-Funded Applicants 1_5_2015.docx	Form and Instruction
4 Survey of Nonprofit Comparison Group Version 4 - 2015 Survey of Nonprofit Comparison Group 1_5_2015.docx	Form and Instruction
5 2016 Survey of SIF Intermediaries Version 5 - 2016 survey of SIF Intermediaries 4 16 2015.docx	Form and Instruction
6 2016 Survey of Non-Funded Applicants Version 6 - 2016 Survey of Non-Funded Applicants 1_5_2015.docx	Form and Instruction
7 SIF Intermediary Evidence Interview SIF intermediary evidence interview 4 16 2015.docx	Form and Instruction

IC Title:

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5	2016 Survey of SIF Intermediaries	Version 5 - 2016 survey of SIF Intermediaries 4 16 2015.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	Survey of 2010-2012 Intermediaries	Version 1 - 2015 survey of 2010-2012 SIF Intermediaries 4 16 15.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	7	SIF Intermediary Evidence Interview	SIF intermediary evidence interview 4 16 2015.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	2	Survey of 2014 SIF Intermediaries	Version 2 - 2015 Survey of 2014 SIF Intermediaries 1_5_2015.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	3	Survey of Non-funded Applicants	Version 3 - 2015 Survey of Non-Funded Applicants 1_5_2015.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	4	Survey of Nonprofit Comparison Group	Version 4 - 2015 Survey of Nonprofit Comparison Group 1_5_2015.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	6	2016 Survey of Non-Funded Applicants	Version 6 - 2016 Survey of Non-Funded Applicants 1_5_2015.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: 539

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	539	539
Annual IC Time Burden (Hours)	207	207
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.