Volunteer Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AD-2025 Volunteer Attendence Record	Form	Modified	Available
Form AD-2024 Sponsored Volunteer Program Service Agreement	Form	Modified	Available
Form AD-2023 Individual Volunteer Program and Service Agreement	Form	Modified	Available
Form AD-2022 Student Volunteer Service Agreement	Form	Modified	Available
Supporting Statement 2014.doc	Supporting Statement A	Uploaded 2014-09-18	Available
FSA-85-1 Reporting and Recordkeeping Requirements.doc	Supplementary Document	Uploaded 2014-09-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
1562	Volunteer Programs	Form	Modified	Volunteer Attendence Record
1562	Volunteer Programs	Form	Modified	Sponsored Volunteer Program Service Agreement
1562	Volunteer Programs	Form	Modified	Individual Volunteer Program and Service Agreement
1562	Volunteer Programs	Form	Modified	Student Volunteer Service Agreement
1562	Volunteer Programs	Instruction	Modified

ICR Details

OMB Control No: 0560-0232	ICR Reference No: 201409-0560-002
Status: Historical Active	Previous ICR Reference No: 201106-0560-004
Agency/Subagency: USDA/FSA	Agency Tracking No:
Title: Volunteer Programs
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/16/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/24/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2018	36 Months From Approved	01/31/2015
Responses	80	0	80
Time Burden (Hours)	30	0	30
Cost Burden (Dollars)	0	0	0

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Abstract: FSA HR staff is responsible for determining how to document volunteer appointments (like, self-developed forms, letters). HR staff requires to inform volunteers of the nature of their appointment w/respect to service credit for leave or other employee benefits and can not use an OPF for this purpose.

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Authorizing Statute(s): US Code: 7 USC 2272 Name of Law: Food and Agriculture Action of 1981
  

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:
	79 FR 22080	04/21/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 57044	09/24/2014
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 Programs	AD-2022, AD-2023, AD-2024, AD-2025	Student Volunteer Service Agreement ,   Individual Volunteer Program and Service Agreement ,   Sponsored Volunteer Program Service Agreement ,   Volunteer Attendence Record

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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	80	80	0	0	0	0
Annual Time Burden (Hours)	30	30	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: $47,824

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: 09/24/2014

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