America's
Natural and Cultural Resources Volunteer Portal
OMB
No 0596-0080 Expires 12/2013
Download Application
Form
Volunteer
Application for Natural Resource Agencies
APLYING
FOR:
(, )
Step
1: Contact Information ( *
Required
Information)
Burden
Statement
According
to the Paperwork Reduction Act of 1995, an agency may not conduct or
sponsor, and a person is not required to respond to a collection of
information unless it displays a valid OMB control number. The valid
OMB control number for this information collection is 0596-0080. The
time required to complete this information collection is estimated to
average 15 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the
collection of information. The U.S. Department of Agriculture (USDA)
and U.S. Department of the Interior prohibit discrimination in all
programs and activities on the basis of race, color, national origin,
gender, religion, age, disability, political beliefs, sexual
orientation, and marital or family status. (Not all prohibited bases
apply to all programs.) Persons with disabilities who require
alternative means for communication of program information (Braille,
large print, audiotape, etc.) should contact USDA's TARGET Center at
202-720-2600 (voice and TDD). To file a complaint of discrimination,
write USDA, Director, Office of Civil Rights, 1400 Independence
Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice)
or (202) 720-6382 (TDD). USDA and USDI are equal opportunity
providers and employers.
Notice
to Volunteer
Volunteers
are not considered Federal employees for any purposes other than tort
claims and injury compensation. Volunteer service is not creditable
for leave accrual or any other benefit. However, volunteer service is
creditable work experience. By signing this application the
volunteer(s) understand(s) s/he may be subject to a reference check,
background check, and/or criminal history inquiry.
Privacy
Act Statement
Collection
and use is covered by Privacy Act System of Records OPM/GOVT-1 and
USDA/OP-1, and is consistent with the provisions of 5 USC 552a
(Privacy Act of 1974), which authorizes acceptance of the information
requested on this form. The data will be used to maintain official
records of volunteers of the USDA and USDI for the purposes of tort
claims and injury compensation. Furnishing this data is voluntary,
however if this form is incomplete, enrollment in the program cannot
proceed.
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http://www.fs.usda.gov/detail/volunteer/about/?cid=stelprdb5104769
SCREENSHOT
Link to Volunteer Application goes to actual official form which includes Privacy Act and Burden Statement
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | ncoyote |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |