Youth Conservation Corps Application and Medical History

ICR 201305-0596-002

OMB: 0596-0084

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Supplementary Document
2013-05-20
Supporting Statement A
2013-05-21
Supplementary Document
2006-12-04
IC Document Collections
ICR Details
0596-0084 201305-0596-002
Historical Active 200912-0596-002
USDA/FS
Youth Conservation Corps Application and Medical History
Revision of a currently approved collection   No
Regular
Approved without change 07/30/2013
Retrieve Notice of Action (NOA) 05/21/2013
In accordance with 5 CFR 1320, this ICR package has been approved for 3 years
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved 07/31/2013
16,103 0 23,000
5,959 0 2,700
0 0 0

This information is collected from young applicants for the application and enrollment in the Youth Conservation Corps program.

US Code: 16 USC 1701-1704 Name of Law: Youth Conservation Corps Act
  
None

Not associated with rulemaking

  77 FR 74168 12/13/2012
78 FR 29697 05/21/2013
Yes

2
IC Title Form No. Form Name
Youth Conservation Corps (YCC)- Forest Service FS-1800-18, FS-1800-3 Youth Conservation Corps Application ,   Youth Conservation Corps Medical History
Youth Conservation Corps -DOI FS-1800-3, FS-1800-18 YCC Medical History ,   Youth Conservation Corps Application

  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 16,103 23,000 0 -2,352 -4,545 0
Annual Time Burden (Hours) 5,959 2,700 0 4,083 -824 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Additional information collected on application increased per response time for a program change increase of 4,083 hours. This was offset by an adjustment decrease of 824 hours attributed to fewer applications received for an overall net increase of 3,259 hours.

$217,078
No
No
No
No
No
Uncollected
Wolf Cota 202 205-1319 [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.
05/21/2013


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