Information Collection

Member, Alumni, Grantee/Sponsor Survey

IC 235673 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⚠️ Notice: This information collection may be referencing outdated material.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 Member, Alumni, Grantee/Sponsor Survey	Form and Instruction
1 Member, Alumni, Grantee/Sponsor Survey CNCS Member Survey Final_OMB.docx www.nationalservice.gov	Form and Instruction
Generic Clearance Submission for Member Survey.docx Member, Alumni, Grantee/Sponsor Survey Submission Form	IC Document

IC Title:

Member, Alumni, Grantee/Sponsor 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	Member, Alumni, Grantee/Sponsor Survey	CNCS Member Survey Final_OMB.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: 1,000

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
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Member, Alumni, Grantee/Sponsor Survey Submission Form	Generic Clearance Submission for Member Survey.docx	04/12/2019

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