Information Collection

NYCALC Enrollment and Emergency Contact Information (Form 3-2572)

IC 263259 under ICR 202306-1018-001 · OMB 1018-0176.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0176 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-2572 NYCALC Enrollment and Emergency Contact Information (Form 3-2572)	Form
3-2572 Native Youth Climate Adaptation and Leadership Congress Form 3-2572 Adult Enrollment and Emergency Info Form Ver 09-2023.pdf www.nycalc.org	Form

IC Title:

NYCALC Enrollment and Emergency Contact Information (Form 3-2572)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3-2572	Native Youth Climate Adaptation and Leadership Congress - Enrollment and Emergency Contact Information	Form 3-2572 Adult Enrollment and Emergency Info Form Ver 09-2023.pdf	https://www.nycalc.org	Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: DOI-16, DOI Learn (Department-wide Learning Management System)

FR Citation: 83 FR 50682

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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