View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	2021 Monitoring Feedback Form	Agency IC Tracking Number:

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	1	2021 Grantee Feedback Form	FY2021 Grant Monitoring Activities - Grantee Feedback Form.pdf	www.americorps.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 87	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 New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	87	0	87	0	0	0
Annual IC Time Burden (Hours)	15	0	15	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Submission Template - 2021 Monitoring Feedback Form	2021 OM Grantee Feedback Form - OMB Clearance Submission.docx	10/12/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.