AmeriCorps Community Engagement Survey Instruments

AmeriCorps Community Engagement Survey

Documents and Forms

Document Name Document Type
Form 2 AmeriCorps Community Engagement Survey Instruments Form and Instruction
1 Operating Site Survey Community Engagement Survey_OperatingSites With PRA_10 7 14.docx www.nationalservice.gov Form and Instruction
2 Partner Survey Community Engagement Survey_partner survey With PRA_10 7 14.docx www.nationalservice.gov Form and Instruction
3 Primary Grantee Survey Community Engagement Survey_Grantee WIth PRA_10 7 14.docx www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

IC Title:	AmeriCorps Community Engagement Survey Instruments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 12501 et seq

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	Partner Survey	Community Engagement Survey_partner survey With PRA_10 7 14.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	Operating Site Survey	Community Engagement Survey_OperatingSites With PRA_10 7 14.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	3	Primary Grantee Survey	Community Engagement Survey_Grantee WIth PRA_10 7 14.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: 1,720	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	1,720	1,720
Annual IC Time Burden (Hours)	582	582
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.