OMB control number
AmeriCorps Seniors Programs COVID Effects Evaluation
OMB 3045-0200 ยท CNCS.
OMB 3045-0200
This information collection will allow AmeriCorps to assess the well-being of AmeriCorps Seniors volunteers and communities served and examine current programmatic structure and service delivery processes that grantees and their host sites may have put in place in response to shifts in social, economic, and health due to the COVID-19 public health emergency.
The latest form for AmeriCorps Seniors Programs COVID Effects Evaluation expires 2027-05-31 and is listed under ICR 202503-3045-006.
Latest Forms, Documents, and Supporting Material
Form 04 Senior Companion Client Survey
Form 01 Surveys
60-Day Notice_ACS COVID Eval.pdf
Focus Groups and InterviewsAll Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202503-3045-006 | No material or nonsubstantive change to a currently approved collection | 2025-03-26 | Approved without change | |
| 202402-3045-001 | New collection (Request for a new OMB Control Number) | 2024-03-05 | Approved with change |
OMB Details
Surveys
Federal Enterprise Architecture: Community and Social Services - Community and Regional Development
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form 02 | Volunteer Survey - Current and Former Volunteers | Paper Only | Form and instruction |
| Form 04 | Senior Companion Client Survey | Paper Only | Form and instruction |
| Form 03 | Caregiver Survey | Paper Only | Form and instruction |
| Form 01 | Station Staff Survey | americorps.gov | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.