Youth Conservation Corps Application and Medical History

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FS-1800-3 Youth Conservation Corps -DOI	Form and Instruction	Modified	Available
Form FS-1800-3 Youth Conservation Corps (YCC)- Forest Service	Form and Instruction	Modified	Available
0596-0084 2016 Burden- cost Spreadsheet v07-29-2016.xlsm	Supplementary Document	Uploaded 2016-12-29	Available
0596-0084 rev SuptStmt Final 12-20-16.docx	Supporting Statement A	Uploaded 2016-12-29	Available
16_USC_Chapter_13_Subchapter_I_YCC.doc	Supplementary Document	Uploaded 2006-12-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46294	Youth Conservation Corps -DOI	Form and Instruction	Modified
3195	Youth Conservation Corps (YCC)- Forest Service	Form and Instruction	Modified

ICR Details

OMB Control No: 0596-0084	ICR Reference No: 201604-0596-005
Status: Active	Previous ICR Reference No: 201305-0596-002
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Youth Conservation Corps Application and Medical History
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: 01/03/2017
	Date Received in OIRA: 07/29/2016
Terms of Clearance: In accordance with 5 CFR 1320, this ICR package has been approved for 3 years

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved	01/31/2017
Responses	11,409	0	16,103
Time Burden (Hours)	4,238	0	5,959
Cost Burden (Dollars)	0	0	0

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

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Authorizing Statute(s): US Code: 16 USC 1701-1704 Name of Law: Youth Conservation Corps Act
  

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:
	81 FR 33203	05/25/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 48738	07/26/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

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

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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	11,409	16,103	0	0	-4,694	0
Annual Time Burden (Hours)	4,238	5,959	0	0	-1,721	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: There is a decrease in the number of respondents, responses and burden hours due to significant budget cuts to the YCC program across all agencies.

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Annual Cost to Federal Government: $124,664

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: 07/29/2016

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