Senior Corps Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0137 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Senior Corps Survey Form and Instruction
1 Senior Corps Community Partners Survey Senior Corps Task 6 Interview Protocol_Community Partners_7.23.docx www.nationalservice.gov Form and Instruction
2 Senior Corps Staff Aurvey Senior Corps Task 6 Interview Protocol_Program Staff_7.23.docx www.nationalservice.gov Form and Instruction
3 Senior Corps Survey Volunteers Senior Corps Task 6 Interview Protocol_Volunteers_7.23.docx www.nationalservice.gov Form and Instruction
Generic Clearance Submission Template Task6-to submit.pdf SC Survey Generic Submission Template IC Document

Information Collection (IC) Details

IC Title:	Senior Corps Survey	Agency IC Tracking Number:

IC Status: New

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	Senior Corps Community Partners Survey	Senior Corps Task 6 Interview Protocol_Community Partners_7.23.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	2	Senior Corps Staff Aurvey	Senior Corps Task 6 Interview Protocol_Program Staff_7.23.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	3	Senior Corps Survey Volunteers	Senior Corps Task 6 Interview Protocol_Volunteers_7.23.docx	www.nationalservice.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: 135	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	135	135
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SC Survey Generic Submission Template	Generic Clearance Submission Template Task6-to submit.pdf	08/09/2018

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