Information Collection

Day of Service Tracking Questions

IC 200765 under ICR 202409-3045-002 · OMB 3045-0122.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Day of Service Tracking Questions	Form and Instruction
Form 1 Day of Service Tracking Tool Day of Service Tracking Questions	Form and Instruction
1 Day of Service Tracking Tool 2021 Day of Service Tracking Tool form.docx www.americorps.gov	Form and Instruction
1 Day of Service Tracking Tool 2021 Day of Service Tracking Tool form.docx www.americorps.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	1			www.americorps.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: 100,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100,000	0	100,000
Annual IC Time Burden (Hours)	16,667	0	16,667
Annual IC Cost Burden (Dollars)	861,000	109,000	752,000

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.

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