Information Collection

NCCC Impact Studies

IC 236814 under ICR 201907-3045-001 · OMB 3045-0189.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0189 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 NCCC Impact Studies	Form and Instruction
1 Leadership Survey Instrument 1_NCCC Leadership Development Baseline Questionnaire.docx www.nationalservice.gov	Form and Instruction
2 Leadership Follow-up 1 Instrument 2 _NCCC Leadership Development Corps Member Early Exit Short Questionnaire.docx www.nationalservice.gov	Form and Instruction
3 Leadership Follow-up 2 Instrument 3_NCCC Leadership Development First Follow.docx www.nationalservice.gov	Form and Instruction
4 Corps Member Early Exit Instrument 4_NCCC Leadership Development Second Follow.docx www.nationalservice.gov	Form and Instruction
5 Leadership and Retention Qaulitative Instrument 5_NCCC Focus Groups and Interviews Questions Strengthening Communities by Target Group.docx www.nationalservice.gov	Form and Instruction

IC Title:

NCCC Impact Studies

Agency IC Tracking Number:

Is this a Common Form? No

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	2	Leadership Follow-up 1	Instrument 2 _NCCC Leadership Development Corps Member Early Exit Short Questionnaire.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	4	Corps Member Early Exit	Instrument 4_NCCC Leadership Development Second Follow.docx	www.nationalservice.gov	Yes	Yes	Fillable Printable
Form and Instruction	5	Leadership and Retention Qaulitative	Instrument 5_NCCC Focus Groups and Interviews Questions Strengthening Communities by Target Group.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	Leadership Survey	Instrument 1_NCCC Leadership Development Baseline Questionnaire.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	3	Leadership Follow-up 2	Instrument 3_NCCC Leadership Development First Follow.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: 2,553

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	2,553	2,553
Annual IC Time Burden (Hours)	1,000	1,000
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.