Information Collection

CNCS Application Template

IC 200280 under ICR 201111-3045-002 · OMB 3045-0129.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0129 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 CNCS Application Template	Form and Instruction
1 CNCS Application Template Universal Application 11.29.11 Final Changes Accepted.doc www.nationalservice.gov	Form and Instruction

IC Title:

CNCS Application Template

Agency IC Tracking Number:

IC Status: New

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	1	CNCS Application Template	Universal Application 11.29.11 Final Changes Accepted.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: 2,200

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,200	2,200
Annual IC Time Burden (Hours)	17,600	17,600
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.