Information Collection

Alumni Outcomes Survey Instrument

IC 214845 under ICR 201603-3045-001 · OMB 3045-0171.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0171 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Alumni Outcomes Survey Instrument	Form and Instruction
1 Alumni Outcomes Survey Instrument Alumni Outcome Survey Final 4-17-15_clean.docx www.nationalservice.gov	Form and Instruction
2 2016 Alumni Survey Instrument Alumni Survey Instrument.docx www.nationalservice.gov	Form and Instruction

IC Title:

Alumni Outcomes Survey Instrument

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Alumni Outcomes Survey Instrument	Alumni Outcome Survey Final 4-17-15_clean.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	2	2016 Alumni Survey Instrument	Alumni Survey 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: 3,150

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	Previously Approved
Annual Number of Responses for this IC	3,150	-315	3,465
Annual IC Time Burden (Hours)	1,155	0	1,155
Annual IC Cost Burden (Dollars)	0	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.