Information Collection

2011 Admin-PDAT-Disability Instructions

IC 194474 under ICR 201005-3045-005 · OMB 3045-0099.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0099 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2011 Admin-PDAT-Disability Instructions	Form and Instruction
1 2011 Admin PDAT Disability Application Instructions 2011 APD Application Instructions 5.27.10 Changes Accepted.doc www.americorps.gov	Form and Instruction

IC Title:

2011 Admin-PDAT-Disability Instructions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 2522-2525 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	1	2011 Admin PDAT Disability Application Instructions	2011 APD Application Instructions 5.27.10 Changes Accepted.doc	www.americorps.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title: CNCS System of Records Notice

FR Citation: 57 FR 4395

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	1,350	1,350
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.