Community Stakeholder Assessment

Community Stakeholder Survey of Senior Corps RSVP Grantees

Documents and Forms

Document Name Document Type
Form 1 Community Stakeholder Assessment Form and Instruction
1 RSVP Community Stakeholder Survey Final 8.10 CNCS Community Stakeholder Survey.docx www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Community Stakeholder Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 4950

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	RSVP Community Stakeholder Survey	Final 8.10 CNCS Community Stakeholder Survey.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: 700	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	700	700
Annual IC Time Burden (Hours)	1,750	1,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.