Information Collection

Corps Community Day Event Forms

IC 206735 under ICR 201605-0915-004 · OMB 0915-0362.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Corps Community Day Event Forms	Form
1 Event Planning Form Corps Community Month Pre Event Instrument.docx	Form
2 Satisfaction Form Corps Community Month Post Event Instrument.docx	Form

IC Title:

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	1	Event Planning Form	Corps Community Month Pre Event Instrument.docx		Yes	Yes	Fillable Fileable
Form	2	Satisfaction Form	Corps Community Month Post Event Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 150

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	30	30
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.