AmeriCorps*VISTA Project Concept Paper, Application Instructions, and Reporting Instructions

Forms and Documents

Document Name	Status
Form 7 VISTA Progress Report Supplement Form and Instruction	Modified
Form 6 VISTA Progress Report Form and Instruction	Unchanged
Form 2 VISTA Application and Budget Instructions Form and Instruction	Unchanged
Form 1 VISTA Concept Paper Form and Instruction	Unchanged
Concept Paper Change Justification (2).doc Justification for No Material/Nonsubstantive Change	2010-10-26
VPRS_July_Justification.docx Supporting Statement A	2012-07-30
VISTA Description of Change and Justification.doc Justification for No Material/Nonsubstantive Change	2007-04-03

IC Document Collections

IC ID	Document Title	Status
198400	VISTA Progress Report Supplement Form and Instruction	Modified
197922	VISTA Progress Report Form and Instruction	Unchanged
197921	VISTA Application and Budget Instructions Form and Instruction	Unchanged
197917	VISTA Concept Paper Form and Instruction	Unchanged

ICR Details

OMB Control No: 3045-0038	ICR Reference No: 201207-3045-005
Status: Historical Active	Previous ICR Reference No: 201105-3045-004
Agency/Subagency: CNCS	Agency Tracking No:
Title: AmeriCorps*VISTA Project Concept Paper, Application Instructions, and Reporting Instructions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/24/2012
	Date Received in OIRA: 07/30/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	36 Months From Approved	07/31/2014
Responses	9,500	0	9,700
Time Burden (Hours)	54,000	0	62,100
Cost Burden (Dollars)	0	0	0

---

Abstract: The AmeriCorps VISTA Concept Paper and application are used by CNCS to determine the suitability of applicants to receive VISTA resources, and to make approval decisions based on the information presented. The AmeriCorps VISTA Project Progress Report (project-specific performance measurement) and the VISTA Progress Report Supplement (national performance metrics) are used by CNCS to monitor ongoing performance of sponsoring organizations and to collect key national performance data.

---

Authorizing Statute(s): US Code: 42 USC 12615 Name of Law: National and Community Service Act
   US Code: 42 USC 4953 Name of Law: Domestic Service Volunteer Act of 1973
   US Code: 42 USC 12592 Name of Law: National and Community Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 25706	05/01/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 43813	07/26/2012
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
VISTA Concept Paper	1	VISTA Concept Paper
VISTA Progress Report	6	VISTA Progress Report
VISTA Application and Budget Instructions	2, 3, 5, 4	VISTA Application ,   VISTA Program Budget Instructions ,   VISTA Standard Budget Instructions ,   VISTA Support Budget Instructions
VISTA Progress Report Supplement	7	VISTA Progress Report Supplement

---

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	9,500	9,700	0	-200	0	0
Annual Time Burden (Hours)	54,000	62,100	0	-8,100	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The burden has decreased due to adjusting number of respondents to current grantee population and streamlining the form.

---

Annual Cost to Federal Government: $0

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

---

Common Form ICR:  No

---

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: 07/30/2012

---