Volunteer Service Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NA Form 6045C Volunteer Confidentiality Statement	Form and Instruction	Modified	Available
Form NA Form 6045B Volunteer / Intern Emergency Medical Consent	Form	Modified	Repair queued
Form NA Form 6045A Standards of Conduct for Volunteers	Form	Modified	Available
Form NA Form 6045 Volunteer Service Application for New York City	Form and Instruction	Modified	Available
Form NA Form 6045 Volunteer Service Application	Form and Instruction	Modified	Available
Form NA Form 6045 Volunteer Service Application	Form and Instruction	Modified	Available
SUP6045_11_2012.docx	Supporting Statement A	Uploaded 2013-01-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
32574	Volunteer Service Application	Form and Instruction	Modified	Volunteer Confidentiality Statement
32574	Volunteer Service Application	Form	Modified	Volunteer / Intern Emergency Medical Consent
32574	Volunteer Service Application	Form	Modified	Standards of Conduct for Volunteers
32574	Volunteer Service Application	Form and Instruction	Modified	Volunteer Service Application for New York City
32574	Volunteer Service Application	Form and Instruction	Modified	Volunteer Service Application
32574	Volunteer Service Application	Form and Instruction	Modified	Volunteer Service Application

ICR Details

OMB Control No: 3095-0060	ICR Reference No: 201301-3095-002
Status: Historical Active	Previous ICR Reference No: 200912-3095-003
Agency/Subagency: NARA	Agency Tracking No:
Title: Volunteer Service Application
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: 02/25/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/08/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved	02/28/2013
Responses	500	0	500
Time Burden (Hours)	208	0	208
Cost Burden (Dollars)	0	0	0

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Abstract: NARA needs a standard way to recruit volunteers and identify the qualifications of potential volunteers. The NA Form 6045 is used by members of the public to signal their interest in being a NARA volunteer.

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Authorizing Statute(s): None

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 50532	08/21/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 118	01/02/2013
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
Volunteer Service Application	NA Form 6045, NA Form 6045, NA Form 6045 , NA Form 6045C, NA Form 6045A, NA Form 6045B	Volunteer Service Application ,   Volunteer Service Application ,   Volunteer Service Application for New York City ,   Standards of Conduct for Volunteers ,   Volunteer / Intern Emergency Medical Consent ,   Volunteer Confidentiality Statement

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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	500	500	0	0	0	0
Annual Time Burden (Hours)	208	208	0	0	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: No

Burden Reduction Due to:

Short Statement:

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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

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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: 01/08/2013

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