OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

ICR 202503-3045-002 · OMB 3045-0137 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Participant Pre-Post Feedack Form and Instruction New Available
Form 1 Partner Pre-Post Feedback Form and Instruction New Repair queued
Form 1 My AmeriCorps Portal Award Recipient Survey Form and Instruction Unchanged Available
Form 1 My AmeriCorps Portal Award Recipient Survey Form and Instruction Unchanged Repair queued
Form 1 My AmeriCorps Portal Replacement Member Survey Form and Instruction Unchanged Available
Form 1 My AmeriCorps Portal Member Surveys Form and Instruction Unchanged Repair queued
Form 1 ACC.gov Contact Instrument Form and Instruction Unchanged Repair queued
Form 1 ACC.gov Contact Form Form and Instruction Unchanged Repair queued
Form 1 VISTA Training Survey Form and Instruction Unchanged Repair queued
Form 1 VISTA Training Survey Form and Instruction Unchanged Repair queued
Form 1 NSCHC Combined Vendor Survey Form and Instruction Unchanged Repair queued
Form 1 National Service Criminal History Checks Combined Vendor Survey Form and Instruction Unchanged Missing upstream
Form 1 VGF and Days of Service Reporting Feedback Questions Form and Instruction Unchanged Repair queued
Form 1 VGF and Days of Service Feedback Form Form and Instruction Unchanged Repair queued
Form 1 National Service Criminal History Checks Training and Resources Survey Form and Instruction Unchanged Repair queued
Form 1 National Service Criminal History Checks Training and Resources Survey Form and Instruction Unchanged Repair queued
Form 1 Public Health AmeriCorps TTA Questions Form Unchanged Repair queued
Form 1 Public Heath AmeriCorps Training and Technical Assistance Questions Form Unchanged Repair queued
Form 1 Public Health AmeriCorps Grantee Survey Form and Instruction Modified Available
Form 1 Public Health AmeriCorps Grantee Survey Form and Instruction Modified Repair queued
Form 1 PHA Focus Group Form and Instruction Unchanged Repair queued
Form 1 Public Health AmeriCorps Grantee Focus Group Form and Instruction Unchanged Repair queued
0137- Nonsub Justification.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-26 Repair queued
0137- Nonsub Justification.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-26 Missing upstream
Generic Clearance Submission Template.docx Supplementary Document Uploaded 2011-04-20 Repair queued
Generic Clearance Submission Template.docx Supplementary Document Uploaded 2011-04-20 Repair queued
Generic Clearance Template Part B.docx Supporting Statement B Uploaded 2023-03-21 Available
Generic Clearance Template Part B.docx Supporting Statement B Uploaded 2023-03-21 Repair queued
Generic Clearance Template Part A.docx Supporting Statement A Uploaded 2023-03-21 Repair queued
Generic Clearance Template Part A.docx Supporting Statement A Uploaded 2023-03-21 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
274595 Participant Pre-Post Survey Form and Instruction NewParticipant Pre-Post Feedack
274594 Partner Pre-Post Survey Form and Instruction NewPartner Pre-Post Feedback
269731 My AmeriCorps Portal Award Recipient Survey Form and Instruction UnchangedMy AmeriCorps Portal Award Recipient Survey
269731 My AmeriCorps Portal Award Recipient Survey Form and Instruction Unchanged
267084 My AmeriCorps Portal Member Surveys Form and Instruction UnchangedMy AmeriCorps Portal Replacement Member Survey
267084 My AmeriCorps Portal Member Surveys Form and Instruction Unchanged
265671 ACC.gov Contact Form Form and Instruction UnchangedACC.gov Contact Instrument
265671 ACC.gov Contact Form Form and Instruction Unchanged
263770 VISTA Training Survey Form and Instruction UnchangedVISTA Training Survey
263770 VISTA Training Survey Form and Instruction Unchanged
263291 National Service Criminal History Checks Combined Vendor Survey Form and Instruction UnchangedNSCHC Combined Vendor Survey
263291 National Service Criminal History Checks Combined Vendor Survey Form and Instruction Unchanged
263220 VGF and Days of Service Feedback Form Form and Instruction UnchangedVGF and Days of Service Reporting Feedback Questions
263220 VGF and Days of Service Feedback Form Form and Instruction Unchanged
261186 National Service Criminal History Checks Training and Resources Survey Form and Instruction UnchangedNational Service Criminal History Checks Training and Resources Survey
261186 National Service Criminal History Checks Training and Resources Survey Form and Instruction Unchanged
260703 Public Heath AmeriCorps Training and Technical Assistance Questions Form UnchangedPublic Health AmeriCorps TTA Questions
260703 Public Heath AmeriCorps Training and Technical Assistance Questions Form Unchanged
260453 Public Health AmeriCorps Grantee Survey Form and Instruction ModifiedPublic Health AmeriCorps Grantee Survey
260453 Public Health AmeriCorps Grantee Survey Form and Instruction Modified
260451 Public Health AmeriCorps Grantee Focus Group Form and Instruction UnchangedPHA Focus Group
260451 Public Health AmeriCorps Grantee Focus Group Form and Instruction Unchanged
ICR Details
3045-0137 202503-3045-002
Active 202303-3045-002
CNCS
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/27/2025
Retrieve Notice of Action (NOA) 03/26/2025
  Inventory as of this Action Requested Previously Approved
05/31/2026 05/31/2026 05/31/2026
10,000 0 10,000
1,667 0 1,667
75,248 0 75,248
This collection of information is necessary to enable AmeriCorps to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.
US Code: 44 USC 3501 et.seq. Name of Law: Paperwork Reduction Act
  
None
Not associated with rulemaking
  88 FR 1367 01/10/2023
88 FR 16955 03/21/2023
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,000 10,000 0 0 0 0
Annual Time Burden (Hours) 1,667 1,667 0 0 0 0
Annual Cost Burden (Dollars) 75,248 75,248 0 0 0 0
No
No
The cost per respondent and cost to Government has been added. These were not required the last time we submitted. The time burden has not changed.
$75,248
No
    No
    No
No
No
No
No
Elizabeth Appel 202 273-4680 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/26/2025