Citizen Corps Affiliate Programs and Organizations Application

ICR 200210-3067-007

OMB: 3067-0303

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3067-0303 200210-3067-007
Historical Active 200303-1660-066
FEMA
Citizen Corps Affiliate Programs and Organizations Application
New collection (Request for a new OMB Control Number)   No
Emergency 11/15/2002
Approved without change 12/02/2002
Retrieve Notice of Action (NOA) 10/31/2002
  Inventory as of this Action Requested Previously Approved
05/31/2003 05/31/2003
20 0 0
80 0 0
0 0 0

Citizen Corps requests information from not-for-profit and governmental groups that would like to support the Citizens Corps program through becoming affiliates. The requested information will ensure that Citizen Corps affiliates only with those programs and organizations capable of supporting its mission.

None
None


No

1
IC Title Form No. Form Name
Citizen Corps Affiliate Programs and Organizations Application

  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 20 0 0 20 0 0
Annual Time Burden (Hours) 80 0 0 80 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
10/31/2002


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