Information Collection

My AmeriCorps Portal Member Surveys

IC 267084 under ICR 202503-3045-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 My AmeriCorps Portal Member Surveys	Form and Instruction
Form 1 My AmeriCorps Portal Replacement Member Survey My AmeriCorps Portal Member Surveys	Form and Instruction
1 My AmeriCorps Portal Replacement Member Survey My AmeriCorps Portal Replacement Member Survey.docx www.americorps.gov	Form and Instruction
1 My AmeriCorps Portal Replacement Member Survey My AmeriCorps Portal Replacement Member Survey.docx www.americorps.gov	Form and Instruction
MAPR Member Survey Clearance Submission.docx Submission Form for MAPR Survey	IC Document
MAPR Member Survey Clearance Submission.docx Submission Form for MAPR Survey	IC Document

IC Title:

My AmeriCorps Portal Member Surveys

Agency IC Tracking Number:

IC Status: Unchanged

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: 120

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
	Requested	Previously Approved
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Submission Form for MAPR Survey		04/19/2024

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

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