Information Collection

Organizational Assessment Form

IC 232327 under ICR 201709-3045-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Organizational Assessment Form	Form and Instruction
1 CNCS Organizational Assessment Tool CNCS_Organization_Assessment_Tool_Final_082517__508_0.pdf www.nationalservice.gov	Form and Instruction
CNCS OCAT Generic Clearance Submission_REVISED.docx OCAT Submission Template	IC Document

IC Title:

Organizational Assessment Form

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	CNCS Organizational Assessment Tool	CNCS_Organization_Assessment_Tool_Final_082517__508_0.pdf	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: 100

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	100	100
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OCAT Submission Template	CNCS OCAT Generic Clearance Submission_REVISED.docx	07/20/2018

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