Segal Education Award Matching Program Commitment Form

ICR 202201-3045-002

OMB: 3045-0143

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2022-01-10
Supporting Statement A
2022-01-10
IC Document Collections
ICR Details
3045-0143 202201-3045-002
Received in OIRA 201807-3045-001
CNCS
Segal Education Award Matching Program Commitment Form
Reinstatement without change of a previously approved collection   No
Regular 01/10/2022
  Requested Previously Approved
36 Months From Approved
200 0
100 0
4,514 0

CNCS is seeking renewal of the revised Segal AmeriCorps Education Matching Program Commitment Form. This ICR will enable colleges and universities that match the Segal AmeriCorps Education Award an opportunity to be listed on the Corporation's website.

US Code: 42 USC 12501 et seq Name of Law: National and Community Service Act
  
None

Not associated with rulemaking

  86 FR 168 09/02/2021
87 FR 1127 01/10/2022
No

1
IC Title Form No. Form Name
Segal Education Award Matching Program Commitment Form 1 Ed Award Commitment Matching Form

  Total Request 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 200 0 0 0 0 200
Annual Time Burden (Hours) 100 0 0 0 0 100
Annual Cost Burden (Dollars) 4,514 0 0 4,514 0 0
No
No

$9,028
No
    No
    No
No
No
No
No
Amy Borgstrom 202 606-6930 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/10/2022


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