AmeriCorps*National Civilian Community Corps Service Project Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
12-14-09_NCCC_Justification Rev 3.9.10.doc	Supporting Statement A	Uploaded 2010-03-09	Available
Citation authorization.doc	Supplementary Document	Uploaded 2007-01-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
42254	AmeriCorps*National Civilian Community Corps Service Project Application	Instruction	Modified

ICR Details

OMB Control No: 3045-0010	ICR Reference No: 201001-3045-001
Status: Historical Active	Previous ICR Reference No: 200701-3045-004
Agency/Subagency: CNCS	Agency Tracking No:
Title: AmeriCorps*National Civilian Community Corps Service Project Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/17/2010
	Date Received in OIRA: 01/05/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	36 Months From Approved	03/31/2010
Responses	1,200	0	700
Time Burden (Hours)	8,400	0	4,900
Cost Burden (Dollars)	150,857	0	88,000

---

Abstract: This form is used by national and local non-profits, small community and faith-based organizations, government agencies, and other prospective service project sponsors in the submission of proposed service projects for consideration by AmeriCorps NCCC. The information collected by the form is used by AmeriCorps NCCC to evaluate the proposed service project for approval and selection.

---

Authorizing Statute(s): US Code: 42 USC 12617 Name of Law: Public Health and Welfare- Citation Authorizing the Development of Project Proposals
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 53220	10/16/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 68418	12/24/2009
Did the Agency receive public comments on this ICR? No

---

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 Service Project Application

---

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	1,200	700	0	500	0	0
Annual Time Burden (Hours)	8,400	4,900	0	3,500	0	0
Annual Cost Burden (Dollars)	150,857	88,000	0	62,857	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: In 2006 the NCCC had a total of 5 campuses – thus the estimated respondents was 1200. Shortly afterward the NCCC was cut to 3 total campuses thus reducing the total respondents to 700 respondants. In 2009 the NCCC added two additional campuses bringing the number of respondents back up to 1200.

---

Annual Cost to Federal Government: $5,000

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? Yes

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)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 01/05/2010

---