Senior Corps Grant Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 6 Sc Station Roster	Form and Instruction	New	Available
Form 5 Workplan Worksheet SCP	Form and Instruction	New	Available
Form 4 Workplan Worksheet RSVP	Form and Instruction	New	Available
Form 2 SC Application Instructions Volume 2	Form and Instruction	New	Available
Form 1 SC Application Instructions Volume 1	Form and Instruction	New	Available
Form 3 Work Plan Worksheet FGP	Form and Instruction	New	Available
Form 1 Senior Corps Grant Application	Form and Instruction	Removed	Available
Senior Corps Grant Application Supporting Statement.docx	Supporting Statement A	Uploaded 2012-07-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203497	Senior Corps Application	Form and Instruction	New	Sc Station Roster
203497	Senior Corps Application	Form and Instruction	New	Workplan Worksheet SCP
203497	Senior Corps Application	Form and Instruction	New	Workplan Worksheet RSVP
203497	Senior Corps Application	Form and Instruction	New	SC Application Instructions Volume 2
203497	Senior Corps Application	Form and Instruction	New	SC Application Instructions Volume 1
203497	Senior Corps Application	Form and Instruction	New	Work Plan Worksheet FGP
191455	Senior Corps Application	Form and Instruction	Removed	Senior Corps Grant Application

ICR Details

OMB Control No: 3045-0035	ICR Reference No: 201207-3045-004
Status: Historical Active	Previous ICR Reference No: 201103-3045-003
Agency/Subagency: CNCS	Agency Tracking No:
Title: Senior Corps Grant Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/06/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/27/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	36 Months From Approved	06/30/2014
Responses	1,518	0	1,350
Time Burden (Hours)	7,590	0	18,495
Cost Burden (Dollars)	0	0	4,725

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Abstract: The Grant Application is submitted by prospective grantees to apply for sponsorship of project grants under the Retired and Senior Volunteer Program (RSVP), the Foster Grandparent Program (FGP), the Senior Companion Program (SCP), and the Senior Companion Demonstration Program (SCP) collectively known as the Senior Corps. Grant Applications are reviewed by CNCS officials in making funding decisions about potential applicants and serve as the basis for establishing performance agreements with grantees on project outcomes for the community and for the volunteers. The Grant Application is also submitted by current grantees for renewals and continuations of their Senior Corps grants. The grant application has been revised to include a required Executive Summary in accordance with new procedures on open government. The Executive Summaries will be posted on the CNCS website following announcement of competition results.

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Authorizing Statute(s): PL: Pub.L. 106 - 170 5011 Name of Law: Domestic Volunteer Service Act (DVSA) as Amended
   PL: Pub.L. 106 - 170 5013 Name of Law: Domestic Volunteer Service Act (DVSA) as Amended
   PL: Pub.L. 106 - 170 5082 Name of Law: Domestic Volunteer Service Act (DVSA) as Amended
   PL: Pub.L. 106 - 170 5001 Name of Law: Domestic Volunteer Service Act (DVSA) 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 16213	03/20/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 44220	07/27/2012
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
Senior Corps Application	2, 1, 3, 4, 5, 6	SC Application Instructions Volume 1 ,   SC Application Instructions Volume 2 ,   Work Plan Worksheet FGP ,   Workplan Worksheet RSVP ,   Workplan Worksheet SCP ,   Sc Station Roster
Senior Corps Application	1	Senior Corps Grant 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	1,518	1,350	0	168	0	0
Annual Time Burden (Hours)	7,590	18,495	0	-10,905	0	0
Annual Cost Burden (Dollars)	0	4,725	0	-4,725	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden has changed because the application has been revised.

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Annual Cost to Federal Government:

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: 07/27/2012

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