Information Collection

Senior Corps COVID-19 Questions

IC 242984 under ICR 201912-3045-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 COVID-19 Questions	Form
1 SC COVID-19 Questions SC COVID-19 Grantee Survey.docx www.nationalservice.gov	Form
Generic Clearance Submission_SC COVID-19.docx Generic Submission Template SC COVID-19 Questions	IC Document

IC Title:

Senior Corps COVID-19 Questions

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	1	SC COVID-19 Questions	SC COVID-19 Grantee Survey.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: 1,088

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	1,088	1,088
Annual IC Time Burden (Hours)	127	127
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Submission Template SC COVID-19 Questions	Generic Clearance Submission_SC COVID-19.docx	08/04/2020

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