AmeriCorps Member Feedback Survey

ICR 202104-3045-001

OMB: 3045-0094

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement B
2021-04-05
Supporting Statement A
2021-04-05
IC Document Collections
IC ID
Document
Title
Status
214239 Modified
ICR Details
3045-0094 202104-3045-001
Received in OIRA 201801-3045-001
CNCS
AmeriCorps Member Feedback Survey
Reinstatement without change of a previously approved collection   No
Regular 04/05/2021
  Requested Previously Approved
36 Months From Approved
80,000 0
20,000 0
0 0

The primary purpose of the AmeriCorps' Member Feedback Survey is to provide reliable and valid outcome data on members' AmeriCorps experience. As part of this effort, all exiting AmeriCorps members are surveyed regarding their service experience with AmeriCorps State and National, AmeriCorps VISTA, and the AmeriCorps National Civilian Community Corps' (NCCC). Information captured in these surveys helps inform policy decisions and the management of AmeriCorps' National Service Programs, as well as help guide the development of the support provided to members and national service organizations

US Code: 42 USC 12501 Name of Law: NAtional and Community Service
  
None

Not associated with rulemaking

  85 FR 74996 11/24/2020
86 FR 17590 04/05/2021
Yes

1
IC Title Form No. Form Name
AmeriCorps Exit Survey 1 AmeriCorps Exit Survey

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 80,000 0 0 0 0 80,000
Annual Time Burden (Hours) 20,000 0 0 0 0 20,000
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$11,500
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Amy Borgstrom 202 606-6930 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/05/2021


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