NCCC Impact Studies

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 Strengthening Communities Studies Protocol	Form and Instruction	New	Available
Form 1 Leadership Survey 2nd Follow-up for Renewal	Form and Instruction	New	Available
Form 1 NCCC Impact Studies	Form and Instruction	New	Repair queued
Form 7 Leadership Survey with Additional COVID-19 Questions	Form and Instruction	Removed	Available
Form 6 Leadership Surveys with COVID-19 Questions	Form and Instruction	Removed	Available
Form 5 Leadership and Retention Qaulitative	Form and Instruction	Removed	Available
Form 4 Corps Member Early Exit	Form and Instruction	Removed	Available
Form 3 Leadership Follow-up 2	Form and Instruction	Removed	Repair queued
Form 2 Leadership Follow-up 1	Form and Instruction	Removed	Available
Form 1 Leadership Survey	Form and Instruction	Removed	Available
Form 1 NCCC Impact Studies	Form and Instruction	Removed	Repair queued
Supporting statement B_M2210_NCCC evaluation extension.pdf	Supporting Statement B	Uploaded 2022-12-23	Repair queued
Supporting Statement A_M2210_NCCC evaluation extension.docx	Supporting Statement A	Uploaded 2022-12-23	Repair queued
Logic Model for NCCC Leadership Development Attachment.docx	Supplementary Document	Uploaded 2019-10-02	Repair queued
NCCC Member Impact Authorizing Citation 2.pdf	Supplementary Document	Uploaded 2019-09-13	Repair queued
NCCC Member Impact Authorizing Citation 1.pdf	Supplementary Document	Uploaded 2019-09-13	Repair queued
Attachment A_Informed Consent Forms.docx	Supplementary Document	Uploaded 2019-07-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257604	NCCC Impact Studies	Form and Instruction	New	Strengthening Communities Studies Protocol
257604	NCCC Impact Studies	Form and Instruction	New	Leadership Survey 2nd Follow-up for Renewal
257604	NCCC Impact Studies	Form and Instruction	New
236814	NCCC Impact Studies	Form and Instruction	Removed	Leadership Survey with Additional COVID-19 Questions
236814	NCCC Impact Studies	Form and Instruction	Removed	Leadership Surveys with COVID-19 Questions
236814	NCCC Impact Studies	Form and Instruction	Removed	Leadership and Retention Qaulitative
236814	NCCC Impact Studies	Form and Instruction	Removed	Corps Member Early Exit
236814	NCCC Impact Studies	Form and Instruction	Removed	Leadership Follow-up 2
236814	NCCC Impact Studies	Form and Instruction	Removed	Leadership Follow-up 1
236814	NCCC Impact Studies	Form and Instruction	Removed	Leadership Survey
236814	NCCC Impact Studies	Form and Instruction	Removed

ICR Details

OMB Control No: 3045-0189	ICR Reference No: 202208-3045-002
Status: Historical Active	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
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/06/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/23/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2024	12 Months From Approved	02/28/2023
Responses	300	0	2,553
Time Burden (Hours)	190	0	1,000
Cost Burden (Dollars)	6,294	0	0

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Abstract: The purpose of this new information collection is to complete data collection for the National Civilian Community Corps (NCCC) impact studies. The studies intend to assess the performance and impact of NCCC programs on members and communities served by the program.

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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:
	87 FR 56936	09/16/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 78946	12/23/2022
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
NCCC Impact Studies	2, 1	Leadership Survey 2nd Follow-up for Renewal ,   Strengthening Communities Studies Protocol
NCCC Impact Studies	1, 2, 3, 4, 5, 6, 7	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

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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	300	2,553	0	300	-2,553	0
Annual Time Burden (Hours)	190	1,000	0	190	-1,000	0
Annual Cost Burden (Dollars)	6,294	0	0	6,294	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 because the scope has changed. We will be collecting a smaller set of information to finish out the data collection.

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Annual Cost to Federal Government: $394,471

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? No

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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: 12/23/2022

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