SIF Pay for Success Application Instructions

Social Innovation Fund Pay for Success Grant Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0160 can be found here:

Documents and Forms

Document Name Document Type
Form 1 SIF Pay for Success Application Instructions Form and Instruction
1 SIF Pay for Success Application Instructions 2014 SIF PFS Application InstructionsFinalClean.docx www.nationalservice.gov Form and Instruction
Emergency Clearance Memo SIF PFS 4.24.14.docx Emergency Request Memo IC Document

Information Collection (IC) Details

IC Title:	SIF Pay for Success Application Instructions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	SIF Pay for Success Application Instructions	2014 SIF PFS Application InstructionsFinalClean.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Emergency Request Memo	Emergency Clearance Memo SIF PFS 4.24.14.docx	06/17/2014

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