Information Collection

NCCC Member Experience Survey

IC 223143 under ICR 201909-3045-008 · OMB 3045-0181.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0181 can be found here:

Documents and Forms

Document Name Document Type
Form 1 NCCC Member Experience Survey Form and Instruction
1 NCCC Member Experience Survey Member Experience Survey - For OMB Approval_08-08-2016.pdf www.nationalservice.gov Form and Instruction
1 NCCC Member Experience Survey 2019.07.01_AmeriCorps NCCC Member Experience Survey_Revised.docx www.nationalservice.gov Form and Instruction
1 Member Experience Survey AmeriCorps NCCC Member Experience Survey_2019.10.28 Edits.docx www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCCC Member Experience Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 Experience Survey	AmeriCorps NCCC Member Experience Survey_2019.10.28 Edits.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	NCCC Member Experience Survey	Member Experience Survey - For OMB Approval_08-08-2016.pdf	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	NCCC Member Experience Survey	2019.07.01_AmeriCorps NCCC Member Experience Survey_Revised.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: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,000	0	1,550	450
Annual IC Time Burden (Hours)	500	-10	322	188
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

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.