Information Collection

AmeriCorps*National Civilian Community Corps Service Project Application

IC 42254 under ICR 201001-3045-001 · OMB 3045-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0010 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Project Application updated Dec 14 2009.doc www.nationalservice.gov	Instruction
Citation authorization.doc Authorizing Statute	IC Document

IC Title:

AmeriCorps*National Civilian Community Corps Service Project Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 12612

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
Instruction			Project Application updated Dec 14 2009.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,200	500	700
Annual IC Time Burden (Hours)	8,400	3,500	4,900
Annual IC Cost Burden (Dollars)	150,857	62,857	88,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authorizing Statute	Citation authorization.doc	01/31/2007

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