Corporation for National Service, Enrollment and Exit Forms

ICR 201302-3045-007

OMB: 3045-0006

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2013-02-26
IC Document Collections
ICR Details
3045-0006 201302-3045-007
Historical Active 201006-3045-002
CNCS
Corporation for National Service, Enrollment and Exit Forms
Revision of a currently approved collection   No
Regular
Approved without change 05/08/2013
Retrieve Notice of Action (NOA) 02/26/2013
  Inventory as of this Action Requested Previously Approved
05/31/2016 36 Months From Approved 09/30/2013
160,000 0 296,000
26,667 0 49,333
0 0 0

The Corporation for National Service Enrollment form is the means by which information is collected on individuals who enroll and exit for a term of national service in an AmeriCorps or Learn and Serve America Summer of Service program. The form "reserves" an education award for the AmeriCorps member and collects demographic information that is entered into the Corporation's database. This revision changes the burden on the information collection request based on actual use of the forms.

US Code: 42 USC 12501 Name of Law: National and Community Service Act
   US Code: 42 USC 12594-12602 Name of Law: National and Community Service Act
   US Code: 42 USC 12639 Name of Law: National and Community Service Act
   PL: Pub.L. 103 - 82 All Name of Law: National and Community Service Trust Act
  
None

Not associated with rulemaking

  77 FR 65868 10/31/2012
78 FR 12744 02/25/2013
No

1
IC Title Form No. Form Name
Corporation for National Service, Enrollment Form 3, 4, 2 2010 Summer of Service Enrollment and Exit ,   2010 AC Enrollment Form ,   2010 AC Exit Form

  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 160,000 296,000 0 -136,000 0 0
Annual Time Burden (Hours) 26,667 49,333 0 -22,666 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The burden has decreased to reflect actual usage.

$0
No
No
No
No
No
Uncollected
Amy Borgstrom 202 606-6930 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/26/2013


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