Member, Alumni, Grantee/Sponsor Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0137 can be found here:

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Member, Alumni, Grantee/Sponsor Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.