Senior Corps Grant Application

Forms and Documents

Document Name	Status
Form 1 Senior Corps Application Form and Instruction	Modified
Senior Corps Grant Application Supporting Statement 2016 Final.docx Supporting Statement A	2015-07-06

IC Document Collections

IC ID	Document Title	Status
203497	Senior Corps Application Form and Instruction	Modified

ICR Details

OMB Control No: 3045-0035	ICR Reference No: 201507-3045-001
Status: Historical Active	Previous ICR Reference No: 201304-3045-002
Agency/Subagency: CNCS	Agency Tracking No:
Title: Senior Corps Grant 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: 09/03/2015
	Date Received in OIRA: 07/06/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved	06/30/2016
Responses	1,519	0	1,519
Time Burden (Hours)	7,595	0	7,595
Cost Burden (Dollars)	0	0	0

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Abstract: The Corporation for National and Community Service (CNCS), has submitted a modification to a currently approved public information collection request (ICR) entitled Senior Corps Grant Application for review and approval in accordance with the Paperwork Reduction Act of 1995, Pub. L. 104-13, (44 U.S.C. Chapter 35). The proposed modification will collect information from Senior Companion, Foster Grandparent, and RSVP sponsor organizations and new applicant organizations. The information collected builds on the currently approved grant application, and refines the narrative questions for greater clarity, categorizes the narrative questions to better support the process used by applicants to develop a grant application, and replaces several existing questions so that the narrative and performance measures sections reinforce one another.The CNCS grants management system, eGrants, will be used to collection the information.

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Authorizing Statute(s): PL: Pub.L. 106 - 170 5001 Name of Law: Domestic Volunteer Service Act (DVSA) as Amended
   PL: Pub.L. 106 - 170 5011 Name of Law: Domestic Volunteer Service Act (DVSA) as Amended
   PL: Pub.L. 106 - 170 5013 Name of Law: Domestic Volunteer Service Act (DVSA) as Amended
   PL: Pub.L. 106 - 170 5082 Name of Law: Domestic Volunteer Service Act (DVSA) as Amended
  

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 73280	12/10/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 38438	07/06/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Senior Corps Application	2, 1, 3, 4, 5, 6, 1, 2	2016 FGP-SCP Grant Application Instructions ,   SC Application Instructions Volume 1 ,   SC Application Instructions Volume 2 ,   Work Plan Worksheet FGP ,   Workplan Worksheet RSVP ,   Workplan Worksheet SCP ,   Sc Station Roster ,   2016 RSVP Grant Application Instructions

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ICR Summary 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	1,519	1,519	0	0	0	0
Annual Time Burden (Hours)	7,595	7,595	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:

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: 07/06/2015

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