OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Generic Information Collection Request for Test and Pilot Data

ICR 201406-3045-006 · OMB 3045-0163 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 AmeriCorps Symposium Evaluation Form New Repair queued
Form 1 Organizational Capacity Assessment Form and Instruction New Available
Form 1 Community Conversations Pilot Form and Instruction New Available
Form 1 Alumni Outcomes Pilot Survey Form and Instruction New Repair queued
Form 1 AmeriCorps Opportunity Youth Evaluation Bundling Pilot Form and Instruction New Repair queued
Form 1 Pilot Test of AmeriCorps Alumni Outcomes Survey Form and Instruction New Available
Generic for Pilots Clearance Template Part B 6.9.2014.doc Supporting Statement B Uploaded 2014-06-18 Available
SSA Generic for Pilots_Rev 10.22.14.docx Supporting Statement A Uploaded 2014-10-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
227315 AmeriCorps Symposium Evaluation Form New
226641 Organizational Capacity Assessment Form and Instruction New
221771 Community Conversations Pilot Form and Instruction New
219510 Alumni Outcomes Pilot Survey Form and Instruction New
214945 AmeriCorps Opportunity Youth Evaluation Bundling Pilot Form and Instruction New
214035 Pilot Test of AmeriCorps Alumni Outcomes Survey Form and Instruction New
ICR Details
3045-0163 201406-3045-006
Historical Active
CNCS
Generic Information Collection Request for Test and Pilot Data
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 10/23/2014
Retrieve Notice of Action (NOA) 06/18/2014
  Inventory as of this Action Requested Previously Approved
10/31/2017 36 Months From Approved
10,500 0 0
350 0 0
0 0 0
This is a new information collection. The information collection activity will enable pilot testing of survey instruments in an efficient, timely manner, in accordance with the Administration's commitment to improving service delivery. By pilot testing we mean information that provides useful insights on how respondents interact with the instrument, but are not statistical surveys that yield quantitative results that can be generalized to the population of study. This feedback will provide insights into customer or stakeholder perceptions, experiences and expectations regarding prospective studies. It will also allow feedback to contribute directly to the improvement of research program management.
US Code: 42 USC 12501 et seq Name of Law: National Community Service act of 1995 as amended
  
None
Not associated with rulemaking
  79 FR 12495 03/05/2014
79 FR 34723 06/18/2014
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,500 0 0 10,500 0 0
Annual Time Burden (Hours) 350 0 0 350 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The burden has increased because this is a new generic information collection.
$0
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Amy Borgstrom 202 606-6930 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/18/2014