AmeriCorps NCCC Member Experience Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NCCC-2 NCCC Member Experience Survey	Form and Instruction	Modified	Available
Form NCCC-2 NCCC Member Experience Survey	Form and Instruction	Modified	Repair queued
30-Day_Member Exp Survey_01-26-2023.pdf	Supplementary Document	Uploaded 2023-01-26	Repair queued
20221205 NCCC Member Experience Survey SSA_Updated.docx	Supporting Statement A	Uploaded 2023-01-27	Repair queued
60-Day Notice_Member Exp Survey_10-27-2022.pdf	Supplementary Document	Uploaded 2023-01-24	Repair queued
National and Community Service Act.pdf	Supplementary Document	Uploaded 2023-01-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223143	NCCC Member Experience Survey	Form and Instruction	Modified	NCCC Member Experience Survey
223143	NCCC Member Experience Survey	Form and Instruction	Modified
223143	NCCC Member Experience Survey	Other-REDLINED	Modified

ICR Details

OMB Control No: 3045-0181	ICR Reference No: 202301-3045-001
Status: Historical Active	Previous ICR Reference No: 201909-3045-008
Agency/Subagency: CNCS	Agency Tracking No:
Title: AmeriCorps NCCC Member Experience Survey
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/06/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/27/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved	03/31/2023
Responses	600	0	2,000
Time Burden (Hours)	150	0	500
Cost Burden (Dollars)	6,282	0	0

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Abstract: This survey obtains feedback from persons who have completed their NCCC terms of service to provide them the opportunity to provide feedback on their experiences in NCCC. NCCC uses this information as a performance measurement for use in program development, funding, and evaluation.

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Authorizing Statute(s): US Code: 42 USC 12501 et seq. 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 65042	10/27/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 4979	01/26/2023
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 Member Experience Survey	NCCC-2	NCCC Member Experience Survey

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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	600	2,000	0	0	-1,400	0
Annual Time Burden (Hours)	150	500	0	0	-350	0
Annual Cost Burden (Dollars)	6,282	0	0	0	6,282	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The estimated burden hours decreased due to an adjustment in agency estimate for the number of respondents, decreasing the number of respondents from 2,000 to 600, to better reflect the decreased number of NCCC members enrolling since the last information collection submission. The increase in cost burden due to agency adjustment in estimate is because the agency only recently started accounting for the cost to respondents based on hourly cost.

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Annual Cost to Federal Government: $4,970

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 01/27/2023

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