Information Collection

NCCC Member Experience Survey

IC 223143 under ICR 202301-3045-001 · OMB 3045-0181.

Documents and Forms

Document Name Document Type
Form NCCC-2 NCCC Member Experience Survey Form and Instruction
Survey_Redlined 2019 to 2023.docx Other-REDLINED
Survey_Redlined 2019 to 2023.docx Other-REDLINED
NCCC-2 NCCC Member Experience Survey AmeriCorps_NCCC_Member_Experience_Survey_2023.docx Form and Instruction
NCCC-2 NCCC Member Experience Survey AmeriCorps_NCCC_Member_Experience_Survey_2023.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCCC Member Experience Survey	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	NCCC-2	NCCC Member Experience Survey	AmeriCorps_NCCC_Member_Experience_Survey_2023.docx		Yes	Yes	Fillable Fileable
Other-REDLINED			Survey_Redlined 2019 to 2023.docx		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: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	600	-1,400	2,000
Annual IC Time Burden (Hours)	150	-350	500
Annual IC Cost Burden (Dollars)	6,282	6,282	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.