Information Collection

Segal Education Award Matching Program Commitment Form

IC 202529 under ICR 202409-3045-001 · OMB 3045-0143.

Documents and Forms

Document Name Document Type
Form 1 Segal Education Award Matching Program Commitment Form Form and Instruction
1 Ed Award Commitment Matching Form SONS Commitment Form 2025.pdf www.nationalservice.gov Form and Instruction
1 Ed Award Commitment Matching Form SONS Commitment Form 2025.pdf www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Segal Education Award Matching Program Commitment Form	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	Ed Award Commitment Matching Form	SONS Commitment Form 2025.pdf	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: 200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	200	0	200
Annual IC Time Burden (Hours)	100	0	100
Annual IC Cost Burden (Dollars)	6,610	2,096	4,514

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.