Information Collection

Senior Corps Application

IC 191455 under ICR 201207-3045-004 · OMB 3045-0035.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0035 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Senior Corps Grant Application Senior Corps Application	Form and Instruction
1 Senior Corps Grant Application Grant Application 2011 Changes Highlighted - 6.3.11 AB.doc	Form and Instruction

IC Title:

Senior Corps Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR XII (To search for a specific CFR, visit the Code of Federal Regulations.)

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			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: CNCS

FR Citation: 45 FR 12

Number of Respondents: 1,350

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,350	1,350
Annual IC Time Burden (Hours)	-18,495	18,495
Annual IC Cost Burden (Dollars)	-4,725	4,725

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.

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