Information Collection

AmeriCorps Member Application

IC 29268 under ICR 201204-3045-002 · OMB 3045-0054.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0054 can be found here:

Documents and Forms

Document Name Document Type
Form SEC -618 AmeriCorps Member Application Form and Instruction
SEC -618 Americorps Member Application AC Member app Jan 2009.pdf my.americorps.gov/mp/login.do Form and Instruction
2011-1 2011 Member Application AC Member app Jan 2011.pdf www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	AmeriCorps Member Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC -618	Americorps Member Application	AC Member app Jan 2009.pdf	https://my.americorps.gov/mp/login.do	Yes	Yes	Fillable Fileable
Form and Instruction	2011-1	2011 Member Application	AC Member app Jan 2011.pdf	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 225,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	225,000	225,000
Annual IC Time Burden (Hours)	337,500	337,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.