Corporation for National Service, Enrollment Form

Corporation for National Service, Enrollment and Exit Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0006 can be found here:

Documents and Forms

Document Name Document Type
Form 2 Corporation for National Service, Enrollment Form Form and Instruction
2 2010 Summer of Service Enrollment and Exit Summer of Service Enroll-Exit 7.22.10.pdf www.nationalservice.gov Form and Instruction
3 2010 AC Enrollment Form 10 AmeriCorps Enrollment Form v 092010 (2).doc www.nationalservice.gov Form and Instruction
4 2010 AC Exit Form 10 AmeriCorps Exit Form v 071410.doc www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Corporation for National Service, Enrollment Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	2010 Summer of Service Enrollment and Exit	Summer of Service Enroll-Exit 7.22.10.pdf	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	3	2010 AC Enrollment Form	10 AmeriCorps Enrollment Form v 092010 (2).doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	4	2010 AC Exit Form	10 AmeriCorps Exit Form v 071410.doc	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: Corporation-8	FR Citation: 67 FR 4395

Number of Respondents: 160,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	160,000	-136,000	296,000
Annual IC Time Burden (Hours)	26,667	-22,666	49,333
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.