DI-4014, Youth Conservation Corps Application

Youth Conservation Corps Application and Medical History Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1093-0010 can be found here:

Documents and Forms

Document Name Document Type
Form DI-4014 DI-4014, Youth Conservation Corps Application Form and Instruction
DI-4014 Youth Conservation Corps Application 1093-0010 - DI-4014 YCC Application_Fillable and 508 FINAL.USDA Update.pdf Form and Instruction
DI-4014 Youth Conservation Corps Application 1093-0010 - DI-4014 YCC Application_Fillable and 508 FINAL.USDA Update.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	DI-4014, Youth Conservation Corps Application	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DI-4014	Youth Conservation Corps Application	1093-0010 - DI-4014 YCC Application_Fillable and 508 FINAL.USDA Update.pdf		Yes	No	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: INTERIOR/OS-25, YCC Enrollee Records	FR Citation: 56 FR 41700

Number of Respondents: 8,599	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Previously Approved
Annual Number of Responses for this IC	8,599	8,599
Annual IC Time Burden (Hours)	3,583	3,583
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.