2019 VISTA Information Collection

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⚠️ Notice: This information collection may be referencing outdated material.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 2019 VISTA Information Collection Form and Instruction
1 2019 VISTA Focus Group VISTA Focus Group communication.docx www.nationalservice.gov Form and Instruction
2 2019 Focus Group Questions VISTA Focus Group Questions.docx www.nationalservice.gov Form and Instruction
20191217 OMB Generic Submission for VISTA.docx Generic Submission Template IC Document
Project Implementation Evaluation Fact Sheet .docx Evaluation Overview IC Document

Information Collection (IC) Details

IC Title:	2019 VISTA Information Collection	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	2019 VISTA Focus Group	VISTA Focus Group communication.docx	www.nationalservice.gov	Yes	No	Printable Only
Form and Instruction	2	2019 Focus Group Questions	VISTA Focus Group Questions.docx	www.nationalservice.gov	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Submission Template	20191217 OMB Generic Submission for VISTA.docx	12/17/2019
Evaluation Overview	Project Implementation Evaluation Fact Sheet .docx	12/17/2019

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