Information Collection

Citizen Corps Council Registration

IC 21176 under ICR 200701-1670-002 · OMB 1670-0004.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Citizen Corps Council Registration	Form and Instruction
Council Registration Form Council Registration Form 1660-0079.pdf www.citizencorps.gov/citizenCorps/councilAddStart.do	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Council Registration Form	Council Registration Form 1660-0079.pdf	https://www.citizencorps.gov/citizenCorps/councilAddStart.do	Yes	Yes	Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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