Information Collection

Independent Living Performance Measures Aggregation Tool

IC 207237 under ICR 201306-3045-001 · OMB 3045-0152.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0152 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Independent Living Performance Measures Aggregation Tool Form
DAT Instructions.doc www.nationalservice.gov Instruction
1 Data Aggregation Tool Copy of Data Aggregation Tool .xls www.nationalservice.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Independent Living Performance Measures Aggregation Tool	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	1	Data Aggregation Tool	Copy of Data Aggregation Tool .xls	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Instruction			DAT Instructions.doc	www.nationalservice.gov	Yes	Yes	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: 350	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	350	350
Annual IC Time Burden (Hours)	2,450	2,450
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.