Childcare Application Forms

Childcare Application

OMB: 3045-0142

IC ID: 217805

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Childcare Application Forms
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Provider Application PROVIDER APPLICATION.docx www.nationalservice.gov Yes Yes Fillable Fileable Signable
Form and Instruction 2 Member Application MEMBER APPLICATION.docx www.nationalservice.gov Yes Yes Fillable Fileable Signable
Form and Instruction 3 Childcare Attendance Sheet Attendance Sheet Invoice.pdf www.nationalservice.gov Yes Yes Fillable Fileable Signable
Form and Instruction 4 Statement of Work Activity STATEMENT OF WORK ACTIVITY.docx www.nationalservice.gov Yes Yes Fillable Fileable Signable
Form and Instruction 5 Member Update Form MEMBER UPDATE FORM.docx www.nationalservice.gov Yes Yes Fillable Fileable Signable
Form and Instruction 6 Childcare Payment Authorization Payment Authorization.docx www.americorps.gov Yes Yes Fillable Fileable Signable
Form and Instruction 7 AmeriCorps Unlicensed Provider Affidavit Unlicensed Provider Affidavit.docx www.americorps.gov Yes Yes Fillable Fileable Signable
Form and Instruction 8 Program Certification of Active Service Certification of Active Service.docx www.americorps.gov Yes Yes Fillable Fileable Signable

Community and Social Services Community and Regional Development

Corporation for National and Community Service  67 FR 20

2,100 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,100 0 -150 0 0 2,250
Annual IC Time Burden (Hours) 1,050 0 -255 0 0 1,305
Annual IC Cost Burden (Dollars) 23,499 0 23,499 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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