Field Assessment for Understanding the Involvement of Veterans and Military Families in National Service

Forms and Documents

Document Name	Status
Form 1 Veterans and Military Families Interview Protocol Form and Instruction	New
Vets Emergency Memo Signed Final.pdf Supplementary Document	2012-06-12
Justification Part B - Emergency Request OMB with Appendices 053012.docx Supporting Statement B	2012-06-12
Justification Part A - Emergency Request OMB 053012.docx Supporting Statement A	2012-06-12

IC Document Collections

IC ID	Document Title	Status
202663	Veterans and Military Families Interview Protocol Form and Instruction	New

ICR Details

OMB Control No: 3045-0141	ICR Reference No: 201206-3045-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: CNCS	Agency Tracking No:
Title: Field Assessment for Understanding the Involvement of Veterans and Military Families in National Service
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 06/19/2012
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/22/2012
	Date Received in OIRA: 06/12/2012
Terms of Clearance: CNCS is granted a six month emergency approval for the use of this form. If CNCS wishes to use this form after the six month approval, they will be required to submit under the Paperwork Reduction Act a full clearance package.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	6 Months From Approved
Responses	100	0	0
Time Burden (Hours)	83	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed information collection is intended to provide CNCS, its programs, and the national service field with information on the models and practices of national service programs and projects that engage and serve these populations. Through the study, CNCS will also begin to build an evidence base for documenting the effectiveness and impact of national service in this area. In addition, the data collection will provide critical information to CNCS that is needed to complete the Congressional report, which will document how the strategies undertaken by CNCS have enabled greater participation by veterans and how existing CNCS programs and activities could be improved to serve veterans and military families [Sec. 196C. (42 U.S.C. 12651k)].

Emergency Justfication: The Congressional report which requires this study is due prior to November, 2012. In an effort to be compliant with this Congressional requirement and maintain our ability to respond accurately and responsively to Congress on our activities related to veterans and military families, we are therefore submitting the information collection request under 5 CFR 1320.13 to OMB for emergency processing and approval of information collection activities.

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Authorizing Statute(s): US Code: 42 USC 12501 et seq Name of Law: National Community Service Act as amended
  

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:
	77 FR 19263	03/30/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 34353	06/11/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Veterans and Military Families Interview Protocol	1	Interview Protocol

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ICR Summary 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	100	0	0	100	0	0
Annual Time Burden (Hours)	83	0	0	83	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: Burden has increased because this is a new information collection request required by the Edward M. Kennedy Serve America Act which amended our statute.

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 06/12/2012

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