Document Name Document Type
Form 1 NCCC Impact Studies Form and Instruction
1 Leadership Survey Instrument 1_NCCC Leadership Development Baseline Questionnaire.docx www.nationalservice.gov 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
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
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
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
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
6 Leadership Surveys with COVID-19 Questions Leadership Surveys 12.06.2019 _modification with track changes.docx www.nationalservice.gov Form and Instruction
6 Leadership Surveys with COVID-19 Questions Leadership Surveys 12.06.2019 _modification with track changes.docx www.nationalservice.gov Form and Instruction
7 Leadership Survey with Additional COVID-19 Questions Leadership Surveys 12.06.2019 _modification with track changes 06.12.20.docx www.nationalservice.gov Form and Instruction
7 Leadership Survey with Additional COVID-19 Questions Leadership Surveys 12.06.2019 _modification with track changes 06.12.20.docx www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

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IC Title:	NCCC Impact Studies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	Leadership Survey	Instrument 1_NCCC Leadership Development Baseline Questionnaire.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
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	3	Leadership Follow-up 2	Instrument 3_NCCC Leadership Development First Follow.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	6	Leadership Surveys with COVID-19 Questions	Leadership Surveys 12.06.2019 _modification with track changes.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	7	Leadership Survey with Additional COVID-19 Questions	Leadership Surveys 12.06.2019 _modification with track changes 06.12.20.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
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

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

NCCC Impact Studies

NCCC Impact Studies

OMB: 3045-0189

IC ID: 236814

View Information Collection (IC)