YOUTH CONSERVATION CORPS (YCC) APPLICATION AND MEDICAL HISTORY

ICR 199409-0596-001

OMB: 0596-0084

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
0596-0084 199409-0596-001
Historical Active 199212-0596-002
USDA/FS
YOUTH CONSERVATION CORPS (YCC) APPLICATION AND MEDICAL HISTORY
Revision of a currently approved collection   No
Regular
Approved without change 10/12/1994
Retrieve Notice of Action (NOA) 09/30/1994
  Inventory as of this Action Requested Previously Approved
10/31/1997 10/31/1997 01/31/1995
26,800 0 27,500
2,150 0 2,500
0 0 0

THE YCC APPLICATION FORM PERMITS PUBLIC ACCESS TO EMPLOYMENT IN THE YCC PROGRAM. THE YCC APPLICANT WHO IS SELECTED FOR EMPLOYMENT MUST SUBMIT A MEDICAL HISTORY REPORT VERIFYING THEIR PHYSICAL SUITABILITY FOR THE PROGRAM. IF NOT USED, GOVERNMENT LIABILITY RISK WOULD BE HIGH AND THE SPECIAL NEEDS OF AN INDIVIDUAL WOULD NOT BE KNOWN.

None
None


No

1
IC Title Form No. Form Name
YOUTH CONSERVATION CORPS (YCC) APPLICATION AND MEDICAL HISTORY FS-1800-3, 1800-18

  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 26,800 27,500 0 0 -700 0
Annual Time Burden (Hours) 2,150 2,500 0 0 -350 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.
09/30/1994


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