AmeriCorps*National Civilian Community Corps Service Project Application

AmeriCorps National Civilian Community Corps (NCCC) Service Project Application

Documents and Forms

Document Name Document Type
Form 3045-0010 AmeriCorps*National Civilian Community Corps Service Project Application Form
3045-0010 NCCC Service Project Application 640_NPS03A_ServiceProjectApplication_NCCC_Trad_2022.05.05_FINAL.docx americorps.gov/sites/default/files/document/640_NPS03A_ServiceProjectApplication_NCCC_Trad_2021.10_0.pdf Form
3045-0010 NCCC Service Project Application 640_NPS03A_ServiceProjectApplication_NCCC_CLEAN.docx americorps.gov/sites/default/files/document/640_NPS03A_ServiceProjectApplication_NCCC_Trad_2021.10_0.pdf Form
Citation authorization.docx Authorizing Statute IC Document
Citation authorization.docx Authorizing Statute IC Document

Information Collection (IC) Details

IC Title:	AmeriCorps*National Civilian Community Corps Service Project Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 12612

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3045-0010	NCCC Service Project Application	640_NPS03A_ServiceProjectApplication_NCCC_CLEAN.docx	https://americorps.gov/sites/default/files/document/640_NPS03A_ServiceProjectApplication_NCCC_Trad_2021.10_0.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,800	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,800	0	1,800
Annual IC Time Burden (Hours)	14,850	-3,150	18,000
Annual IC Cost Burden (Dollars)	504,752	504,752	0

Documents for IC

Title	Document	Date Uploaded
Authorizing Statute	Citation authorization.docx	08/11/2022

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