AmeriCorps Program Life Cycle Evaluation—Climate Change Bundled Evaluation.

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov-2022 Grantee/sponsor director assistance in data collection	Form and Instruction	New	Repair queued
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov-2022 Evaluation technical assistance post-presentation surveys	Form and Instruction	New	Available
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov-2022 Evaluation technical assistance pre-post surveys	Form and Instruction	New	Repair queued
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov-2022 Community member focus group	Form and Instruction	New	Repair queued
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov-2022 Partner organization interviews	Form and Instruction	New	Repair queued
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov-2022 Partner organization surveys	Form and Instruction	New	Repair queued
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov-2022 National service member focus group	Form and Instruction	New	Repair queued
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov.2022 National service member surveys	Form and Instruction	New	Repair queued
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov-2022 Grantee/sponsor staff interviews	Form and Instruction	New	Repair queued
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov-2022 Grantee/sponsor director interviews	Form and Instruction	New	Repair queued
Form Feb-2023 Climate Change Bundle Evaluation Instruments for AmeriCorps	Form and Instruction	New	Available
Form Nov-2022 Grantee/sponsor director surveys	Form and Instruction	New	Repair queued
42 U.S.C. 12639.pdf	Supplementary Document	Uploaded 2022-11-23	Repair queued
60-Day Notice_87 FR 50613_08-17-22.pdf	Supplementary Document	Uploaded 2022-11-23	Repair queued
30-Day Notice_87 FR 71587_11-23-22.pdf	Supplementary Document	Uploaded 2022-11-23	Repair queued
20221117 life cycle evaluation CC SSB.docx	Supporting Statement B	Uploaded 2022-11-17	Repair queued
20221117 life cycle evaluation CC SSA.docx	Supporting Statement A	Uploaded 2022-11-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256972	Grantee/sponsor director assistance in data collection	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256972	Grantee/sponsor director assistance in data collection	Form and Instruction	New
256971	Evaluation technical assistance post-presentation surveys	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256971	Evaluation technical assistance post-presentation surveys	Form and Instruction	New
256970	Evaluation technical assistance pre-post surveys	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256970	Evaluation technical assistance pre-post surveys	Form and Instruction	New
256969	Community member focus group	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256969	Community member focus group	Form and Instruction	New
256968	Partner organization interviews	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256968	Partner organization interviews	Form and Instruction	New
256967	Partner organization surveys	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256967	Partner organization surveys	Form and Instruction	New
256966	National service member focus group	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256966	National service member focus group	Form and Instruction	New
256965	National service member surveys	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256965	National service member surveys	Form and Instruction	New
256964	Grantee/sponsor staff interviews	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256964	Grantee/sponsor staff interviews	Form and Instruction	New
256963	Grantee/sponsor director interviews	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256963	Grantee/sponsor director interviews	Form and Instruction	New
256962	Grantee/sponsor director surveys	Form and Instruction	New	Climate Change Bundle Evaluation Instruments for AmeriCorps
256962	Grantee/sponsor director surveys	Form and Instruction	New

ICR Details

OMB Control No: 3045-0197	ICR Reference No: 202211-3045-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: CNCS	Agency Tracking No:
Title: AmeriCorps Program Life Cycle Evaluation—Climate Change Bundled Evaluation.
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/23/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/23/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2026	36 Months From Approved
Responses	611	0	0
Time Burden (Hours)	235	0	0
Cost Burden (Dollars)	3,712	0	0

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Abstract: This new information collection will be the first time AmeriCorps will synthesize information about climate change approaches and models across funding streams through surveys, interviews, and focus groups to examine program models and strategies and assess the outcomes for grantees and sponsors, national service members, and partner organizations.

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Authorizing Statute(s): US Code: 42 USC 12639 Name of Law: National and Community Service Act, as amended
  

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 50613	08/17/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 71587	11/23/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 11

table that charts list of burden

IC Title	Form No.	Form Name
Community member focus group	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps
Evaluation technical assistance post-presentation surveys	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps
Evaluation technical assistance pre-post surveys	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps
Grantee/sponsor director assistance in data collection	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps
Grantee/sponsor director interviews	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps
Grantee/sponsor director surveys	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps
Grantee/sponsor staff interviews	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps
National service member focus group	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps
National service member surveys	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps
Partner organization interviews	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps
Partner organization surveys	Feb-2023	Climate Change Bundle Evaluation Instruments for AmeriCorps

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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	611	0	0	611	0	0
Annual Time Burden (Hours)	235	0	0	235	0	0
Annual Cost Burden (Dollars)	3,712	0	0	3,712	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: This is a new information collection for the climate change bundled life cycle evaluation.

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Annual Cost to Federal Government: $11,184

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.     No

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.     No

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: 11/23/2022

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