Information Collection

Partnership and Collaboration Survey

IC 214922 under ICR 201502-3045-002 · OMB 3045-0172.

Documents and Forms

Document Name Document Type
Form 1 Partnership and Collaboration Survey Form and Instruction
1 Partnership and Collaboration Survey Attachment A_Partnership and Collaboration Survey_2.6.15.docx www.nationalservice.gov Form and Instruction
Attachments B-I_PAC_Communication Materials_2.6.15.docx Communication Materials IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Partnership and Collaboration Survey	Agency IC Tracking Number:

Is this a Common Form? No		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	Partnership and Collaboration Survey	Attachment A_Partnership and Collaboration Survey_2.6.15.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: 250	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	250	250
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Communication Materials	Attachments B-I_PAC_Communication Materials_2.6.15.docx	02/10/2015

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