Information Collection

Feedback on 2015 Research Summit

IC 219367 under ICR 201503-3045-001 · OMB 3045-0137.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0137 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Feedback on 2015 Research Summit	Form
1 Feedback Form 2015 Research Summit Feedback Form 2015 Research Summit.docx www.nationalservice.gov	Form
Generic Clearance Submission_2015 CNCS Research Summit Attendee Feedback Survey (002).docx 2015 Research Summit Feedback Generic Template	IC Document

IC Title:

Feedback on 2015 Research Summit

Agency IC Tracking Number:

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	1	Feedback Form 2015 Research Summit	Feedback Form 2015 Research Summit.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 %

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)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2015 Research Summit Feedback Generic Template	Generic Clearance Submission_2015 CNCS Research Summit Attendee Feedback Survey (002).docx	12/21/2015

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