Information Collection

AmeriCorps State and National Symposium Evaluation

IC 227445 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⚠️ Notice: This information collection may be referencing outdated material.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 AmeriCorps State and National Symposium Evaluation	Form and Instruction
1 AmeriCorps State and National Symposium Evaluation Instr ASN Symposium Generic Submission Instrument.docx www.nationalservice.gov	Form and Instruction
ASN Symposium Generic Submission Template.docx ASN Symposium Evaluation Submission Template	IC Document

IC Title:

AmeriCorps State and National Symposium Evaluation

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 and Instruction	1	AmeriCorps State and National Symposium Evaluation Instrument	ASN Symposium Generic Submission Instrument.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: 400

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	400	400
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ASN Symposium Evaluation Submission Template	ASN Symposium Generic Submission Template.docx	07/11/2017

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