Information Collection

Partnership and Collaboration Survey

IC 214922 under ICR 201502-3045-002 · OMB 3045-0172.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Partnership and Collaboration Survey Partnership and Collaboration Survey	Form and Instruction
1 Partnership and Collaboration Survey Attachment A_Partnership and Collaboration Survey_2.6.15.docx www.nationalservice.gov	Form and Instruction
Attachments B-I_PAC_Communication Materials_2.6.15.docx Communication Materials	IC Document

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	1			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: 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	250	250
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Communication Materials		02/10/2015

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

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