Information Collection

Employers of National Service Enrollment Form

IC 219229 under ICR 202503-3045-003 · OMB 3045-0175.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Employers of National Service Enrollment Form	Form and Instruction
Form 1 Employers of National Service Enrollment Form Employers of National Service Enrollment Form	Form and Instruction
Form 2 Employers of National Service Survey Employers of National Service Enrollment Form	Form and Instruction
Form 3 2021 Employers of National Service Survey Employers of National Service Enrollment Form	Form and Instruction
1 Employers of National Service Enrollment Form EONS Enrollment.pdf www.nationalservice.gov	Form and Instruction
1 Employers of National Service Enrollment Form EONS Enrollment.pdf www.nationalservice.gov	Form and Instruction
2 Employers of National Service Survey EONS Member Survey.pdf www.nationalservice.gov	Form and Instruction
2 Employers of National Service Survey EONS Member Survey.pdf www.nationalservice.gov	Form and Instruction
3 2021 Employers of National Service Survey 0175 - 2021 EONS Survey_EDITED-Clean.docx www.americorps.gov	Form and Instruction
3 2021 Employers of National Service Survey 0175 - 2021 EONS Survey_EDITED-Clean.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.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	2	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	3	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: 1,180

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,180	1,180
Annual IC Time Burden (Hours)	492	492
Annual IC Cost Burden (Dollars)	21,264	21,264

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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