Information Collection

Senior Corps Surveys

IC 203076 under ICR 201207-3045-001 · OMB 3045-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0146 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Senior Corps Surveys Form and Instruction
1 Client Survey SCP Independent Living Survey FINAL.doc Form and Instruction
2 Caregiver Survey SCP Respite Survey with FINAL.doc Form and Instruction
3 Volunteer Survey Senior Corps Volunteer Performance Measure Survey FINAL.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Senior Corps Surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 5056

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	Client Survey	SCP Independent Living Survey FINAL.doc	No	Paper Only
Form and Instruction	2	Caregiver Survey	SCP Respite Survey with FINAL.doc	No	Paper Only
Form and Instruction	3	Volunteer Survey	Senior Corps Volunteer Performance Measure Survey FINAL.docx	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120,000	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	120,000	120,000
Annual IC Time Burden (Hours)	60,000	60,000
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.