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
NCCC Team Leader App Justification.doc	Supporting Statement A	Uploaded 2011-08-05	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: 201106-3045-001
Status: Historical Active	Previous ICR Reference No: 200802-3045-002
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 without change	Conclusion Date: 08/10/2011
	Date Received in OIRA: 06/29/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	36 Months From Approved	08/31/2011
Responses	400	0	300
Time Burden (Hours)	800	0	300
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. This renewal request updates the application with factual changes to agency demographics, statutory language changes, and reflects non-substantive programmatic changes such as the addition of new NCCC campuses.

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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:
	76 FR 22680	04/22/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 36903	06/23/2011
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	NCCC 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	400	300	0	100	0	0
Annual Time Burden (Hours)	800	300	0	500	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: The burden has increased because NCCC has grown to five campuses and so elicits and receives more team leader applications. The burden per response has increased based on appraisal of actual time it takes to fill out the application.

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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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 06/29/2011

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