Senior Corps Grant Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 2016 RSVP Application Instructions Revised	Form and Instruction	Modified	Available
Form 1 2016 FGP-SCP Grant Application Instructions Revised	Form and Instruction	Modified	Available
Form 2 2016 RSVP Grant Application Instructions	Form and Instruction	Modified	Available
Form 1 2016 FGP-SCP Grant Application Instructions	Form and Instruction	Modified	Available
Form 6 Sc Station Roster	Form and Instruction	Modified	Available
Form 5 Workplan Worksheet SCP	Form and Instruction	Modified	Available
Form 4 Workplan Worksheet RSVP	Form and Instruction	Modified	Available
Form 3 Work Plan Worksheet FGP	Form and Instruction	Modified	Available
Form 2 SC Application Instructions Volume 2	Form and Instruction	Modified	Repair queued
Form 1 SC Application Instructions Volume 1	Form and Instruction	Modified	Available
OMB Change Request Form_9_10_15 Final.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2015-09-10	Available
Senior Corps Grant Application Instructions - Justification.doc	Supporting Statement A	Uploaded 2018-09-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203497	Senior Corps Application	Form and Instruction	Modified	2016 RSVP Application Instructions Revised
203497	Senior Corps Application	Form and Instruction	Modified	2016 FGP-SCP Grant Application Instructions Revised
203497	Senior Corps Application	Form and Instruction	Modified	2016 RSVP Grant Application Instructions
203497	Senior Corps Application	Form and Instruction	Modified	2016 FGP-SCP Grant Application Instructions
203497	Senior Corps Application	Form and Instruction	Modified	Sc Station Roster
203497	Senior Corps Application	Form and Instruction	Modified	Workplan Worksheet SCP
203497	Senior Corps Application	Form and Instruction	Modified	Workplan Worksheet RSVP
203497	Senior Corps Application	Form and Instruction	Modified	Work Plan Worksheet FGP
203497	Senior Corps Application	Form and Instruction	Modified	SC Application Instructions Volume 2
203497	Senior Corps Application	Form and Instruction	Modified	SC Application Instructions Volume 1

ICR Details

OMB Control No: 3045-0035	ICR Reference No: 201809-3045-003
Status: Historical Active	Previous ICR Reference No: 201509-3045-001
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: 12/19/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/25/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2021	36 Months From Approved	12/31/2018
Responses	1,250	0	1,519
Time Burden (Hours)	17,820	0	7,595
Cost Burden (Dollars)	0	0	0

---

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.

---

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

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 31531	07/06/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 46921	09/17/2018
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

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

---

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	1,250	1,519	0	-269	0	0
Annual Time Burden (Hours)	17,820	7,595	0	10,225	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden has been adjusted to reflect actual usage.

---

Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  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:

(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: 09/25/2018

---