Information Collection

Senior Corps Survey

IC 232637 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⚠️ Notice: This information collection may be referencing outdated material.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 Senior Corps Survey	Form and Instruction
1 Senior Corps Community Partners Survey Senior Corps Task 6 Interview Protocol_Community Partners_7.23.docx www.nationalservice.gov	Form and Instruction
2 Senior Corps Staff Aurvey Senior Corps Task 6 Interview Protocol_Program Staff_7.23.docx www.nationalservice.gov	Form and Instruction
3 Senior Corps Survey Volunteers Senior Corps Task 6 Interview Protocol_Volunteers_7.23.docx www.nationalservice.gov	Form and Instruction
Generic Clearance Submission Template Task6-to submit.pdf SC Survey Generic Submission Template	IC Document

IC Title:

Senior Corps Survey

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	Senior Corps Community Partners Survey	Senior Corps Task 6 Interview Protocol_Community Partners_7.23.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	2	Senior Corps Staff Aurvey	Senior Corps Task 6 Interview Protocol_Program Staff_7.23.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	3	Senior Corps Survey Volunteers	Senior Corps Task 6 Interview Protocol_Volunteers_7.23.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: 135

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	135	135
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SC Survey Generic Submission Template	Generic Clearance Submission Template Task6-to submit.pdf	08/09/2018

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