Information Collection

Social Innovation Fund Pay for Success Process Evaluation Survey

IC 220595 under ICR 201603-3045-003 · OMB 3045-0177.

Documents and Forms

Document Name Document Type
Form 1 Social Innovation Fund Pay for Success Process Evaluation Survey Form and Instruction
1 SIF Pay for Success Process Evaluation Survey Instrument SIF PFS Surveys_02.05.16.docx www,nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Social Innovation Fund Pay for Success Process Evaluation 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	SIF Pay for Success Process Evaluation Survey Instruments	SIF PFS Surveys_02.05.16.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: 260	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	260	260
Annual IC Time Burden (Hours)	87	87
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.