Information Collection

Day of Service Tracking Questions

IC 200765 under ICR 202201-3045-001 · OMB 3045-0122.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0122 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Day of Service Tracking Questions Form and Instruction
1 2015 Day of Service Tracking Tool Day of Service Tracking Tool wPublic Burden Statement.docx www.nationalservice.gov Form and Instruction
1 2015 Day of Service Tracking Tool Day of Service Tracking Tool wPublic Burden Statement.docx www.nationalservice.gov Form and Instruction
1 2018 Day of Service Tracking Tool 20180710 Day of Service Tracking Tool Final.docx www.nationalservice.gov Form and Instruction
1 2018 Day of Service Tracking Tool 20180710 Day of Service Tracking Tool Final.docx www.nationalservice.gov Form and Instruction
1 Day of Service Tracking Tool 2021 Day of Service Tracking Tool form.docx www.americorps.gov Form and Instruction
1 Day of Service Tracking Tool 2021 Day of Service Tracking Tool form.docx www.americorps.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Day of Service Tracking Questions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	2015 Day of Service Tracking Tool	Day of Service Tracking Tool wPublic Burden Statement.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	2018 Day of Service Tracking Tool	20180710 Day of Service Tracking Tool Final.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	Day of Service Tracking Tool	2021 Day of Service Tracking Tool form.docx	www.americorps.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: 100,000	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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	100,000	0	100,000
Annual IC Time Burden (Hours)	16,667	0	16,667
Annual IC Cost Burden (Dollars)	752,000	752,000	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.