AmeriCorps*National Civilian Community Corps Team Leader Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 AmeriCorps*National Civilian Community Corps Team Leader Application	Form and Instruction	Modified	Available
Supporting Statement NCCC TL App[2].doc	Supporting Statement A	Uploaded 2008-06-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
29193	AmeriCorps*National Civilian Community Corps Team Leader Application	Form and Instruction	Modified

ICR Details

OMB Control No: 3045-0005	ICR Reference No: 200802-3045-002
Status: Historical Active	Previous ICR Reference No: 200410-3045-001
Agency/Subagency: CNCS	Agency Tracking No:
Title: AmeriCorps*National Civilian Community Corps Team Leader Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/30/2008
	Date Received in OIRA: 02/29/2008
Terms of Clearance: Supporting Statement item 15 incorrectly states that the number of respondents has been increased to 300 - this is actually a decrease to 300 from the prior approval. CNCS is reminded that all aspects of the Supporting Statement must be complete and accurate at time of initial submission to OMB.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2011	36 Months From Approved	06/30/2008
Responses	300	0	700
Time Burden (Hours)	300	0	1,000
Cost Burden (Dollars)	0	0	0

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Abstract: The AmeriCorps NCCC Team Leader application is the first part of the application process for acceptance into the NCCC program. This application is used to determine the eligibility of applicants to successfully serve in the Team Leader role.

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Authorizing Statute(s): US Code: 42 USC 12501 Name of Law: NATIONAL AND COMMUNITY SERVICE ACT OF 1990
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 61869	11/01/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 2461	01/15/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
AmeriCorps*National Civilian Community Corps Team Leader Application	1	Team Leader Application

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ICR Summary of Burden

table that charts list of burden

	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	300	700	0	-400	0	0
Annual Time Burden (Hours)	300	1,000	0	-700	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There are 300 estimated responses. Total aggregate burden on all respondents is estimated at 300 hours. This is a 400 hour decrease in the previously approved data collection burden of 700 hours. AmeriCorps NCCC only expects approximately 300 respondents annually. The number of respondents we have had in past years, which is less than 200.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/29/2008

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