STATE PROGRAM REPORTING FORM - YOUNG ADULT CORPS WORK ACCOMPLISHMENT

ICR 198103-1084-003

OMB: 1084-0006

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1084-0006 198103-1084-003
Historical Active 198012-1084-001
DOI/OAPM
STATE PROGRAM REPORTING FORM - YOUNG ADULT CORPS WORK ACCOMPLISHMENT
No material or nonsubstantive change to a currently approved collection   No
Emergency 03/10/1981
Approved with change 03/10/1981
Retrieve Notice of Action (NOA) 03/10/1981
  Inventory as of this Action Requested Previously Approved
12/31/1982 12/31/1982 12/31/1982
1,400 0 1,852
926 0 926
0 0 0

FORM IS USED BY STATE GRANT YACC CAMP DIRECTORS TO REPORT QUARTERLY THE VALUE OF WORK ACCOMPLISHED BY RESOURCE CATEGORY. FUNDS EXPENDED ARE ALSO REPORTED ENABLING A COMPARISON OF BENEFITS VS.COSTS. WORK HOURS ARE REPORTED BY RESOURCE CATEGORY SO THAT THE VALUE PRODUCED PER HOUR WORKED CAN BE DETERMINED.

None
None


No

1
IC Title Form No. Form Name
STATE PROGRAM REPORTING FORM - YOUNG ADULT CORPS WORK ACCOMPLISHMENT YACC FORM 5

  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 1,400 1,852 0 -452 0 0
Annual Time Burden (Hours) 926 926 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
03/10/1981


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