NCCC Impact Studies

Forms and Documents

Document Name	Status
Form 1 NCCC Impact Studies Form and Instruction	Modified
200624 Justification for NCCC Impact Study Request for Non-substantive Change.docx Justification for No Material/Nonsubstantive Change	2020-06-25
NCCC Impact CR Justification.docx Justification for No Material/Nonsubstantive Change	2020-05-12
Logic Model for NCCC Leadership Development Attachment.docx Supplementary Document	2019-10-02
NCCC Member Impact Authorizing Citation 2.pdf Supplementary Document	2019-09-13
NCCC Member Impact Authorizing Citation 1.pdf Supplementary Document	2019-09-13
Attachment A_Informed Consent Forms.docx Supplementary Document	2019-07-03
Supporting Statement B - final - OIRA__12.20.19.docx Supporting Statement B	2019-12-20
Supporting Statement A - final - OIRA_Final_12.20.19.docx Supporting Statement A	2019-12-20

IC Document Collections

IC ID	Document Title	Status
236814	NCCC Impact Studies Form and Instruction	Modified

ICR Details

OMB Control No: 3045-0189	ICR Reference No: 202201-3045-003
Status: Received in OIRA	Previous ICR Reference No: 202006-3045-002
Agency/Subagency: CNCS	Agency Tracking No:
Title: NCCC Impact Studies
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/13/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2022
Responses	7,908	2,553
Time Burden (Hours)	3,295	1,000
Cost Burden (Dollars)	188,922	0

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Abstract: The Corporation for National and Community Service, dba AmeriCorps, is requesting to expand the scope of previously OMB approved project NCCC Impact Evaluation (OMB Control Number: 3045-0189 [Expires 12/31/2022]) to include targeted data collection and analyses of COVID-19 vaccine distribution and related activities for up to 10 case studies. We are respectfully requesting revision of the previously approved survey instrument to accommodate a targeted data collection and analysis that is part of the existing study.

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Authorizing Statute(s): US Code: 42 USC 12501 et. seq. Name of Law: National Community Service 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:
	86 FR 49319	09/02/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 68647	12/03/2021
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
NCCC Impact Studies	2, 3, 4, 5, 6, 7, 8, 1	Leadership Survey ,   Leadership Follow-up 1 ,   Leadership Follow-up 2 ,   Corps Member Early Exit ,   Leadership and Retention Qaulitative ,   Leadership Surveys with COVID-19 Questions ,   Leadership Survey with Additional COVID-19 Questions ,   Table of Questions with Changes Tracked

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ICR Summary of Burden

	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	7,908	2,553	0	5,355	0	0
Annual Time Burden (Hours)	3,295	1,000	0	2,295	0	0
Annual Cost Burden (Dollars)	188,922	0	0	188,922	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 changed with the addition of questions related to COVID-19. The cost burden has increased because cost to respondent was not included in the approved Information Collection Request.

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Annual Cost to Federal Government: $2,831,918

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     Yes

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.     Yes

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? Yes

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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: 01/13/2022

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