Information Collection

Corporation for National Service, Enrollment Form

IC 29199 under ICR 201006-3045-002 · OMB 3045-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Corporation for National Service, Enrollment Form	Form and Instruction
2 2010 Summer of Service Enrollment and Exit Summer of Service Enroll-Exit 7.22.10.pdf www.nationalservice.gov	Form and Instruction
3 2010 AC Enrollment Form 10 AmeriCorps Enrollment Form v 092010 (2).doc www.nationalservice.gov	Form and Instruction
4 2010 AC Exit Form 10 AmeriCorps Exit Form v 071410.doc www.nationalservice.gov	Form and Instruction

IC Title:

Corporation for National Service, Enrollment Form

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	2	2010 Summer of Service Enrollment and Exit	Summer of Service Enroll-Exit 7.22.10.pdf	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	4	2010 AC Exit Form	10 AmeriCorps Exit Form v 071410.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	3	2010 AC Enrollment Form	10 AmeriCorps Enrollment Form v 092010 (2).doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 296,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	296,000	150,000	146,000
Annual IC Time Burden (Hours)	49,333	40,816	8,517
Annual IC Cost Burden (Dollars)	0	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.