Information Collection

NCCC Impact Studies

IC 236814 under ICR 201907-3045-001 · OMB 3045-0189.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0189 can be found here:

Documents and Forms

Document Name Document Type
Form 2 NCCC Impact Studies Form and Instruction
1 Leadership Survey Instrument 1_NCCC Leadership Development Baseline Questionnaire.docx www.nationalservice.gov Form and Instruction
2 Leadership Follow-up 1 Instrument 2 _NCCC Leadership Development Corps Member Early Exit Short Questionnaire.docx www.nationalservice.gov Form and Instruction
3 Leadership Follow-up 2 Instrument 3_NCCC Leadership Development First Follow.docx www.nationalservice.gov Form and Instruction
4 Corps Member Early Exit Instrument 4_NCCC Leadership Development Second Follow.docx www.nationalservice.gov Form and Instruction
5 Leadership and Retention Qaulitative Instrument 5_NCCC Focus Groups and Interviews Questions Strengthening Communities by Target Group.docx www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCCC Impact Studies	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	2	Leadership Follow-up 1	Instrument 2 _NCCC Leadership Development Corps Member Early Exit Short Questionnaire.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	4	Corps Member Early Exit	Instrument 4_NCCC Leadership Development Second Follow.docx	www.nationalservice.gov	Yes	Yes	Fillable Printable
Form and Instruction	5	Leadership and Retention Qaulitative	Instrument 5_NCCC Focus Groups and Interviews Questions Strengthening Communities by Target Group.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	Leadership Survey	Instrument 1_NCCC Leadership Development Baseline Questionnaire.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	3	Leadership Follow-up 2	Instrument 3_NCCC Leadership Development First Follow.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: 2,553	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,553	2,553
Annual IC Time Burden (Hours)	1,000	1,000
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.