Information Collection

AmeriCorps*National Civilian Community Corps Team Leader Application

IC 29193 under ICR 202309-3045-001 · OMB 3045-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 AmeriCorps*National Civilian Community Corps Team Leader Application	Form and Instruction
1 2020 NCCC Team Leader Application 20200731 NCCC Team Leader Application.docx www.nationalservice.gov	Form and Instruction
1 2020 NCCC Team Leader Application 20200731 NCCC Team Leader Application.docx www.nationalservice.gov	Form and Instruction
1 2023 NCCC Team Leader Application NCCC_TL_Application_Supplement_Questions_2023.docx www.americorps.gov	Form and Instruction
1 2023 NCCC Team Leader Application NCCC_TL_Application_Supplement_Questions_2023.docx www.americorps.gov	Form and Instruction

IC Title:

AmeriCorps*National Civilian Community Corps Team Leader Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	1	2020 NCCC Team Leader Application	20200731 NCCC Team Leader Application.docx	www.nationalservice.gov	Yes	Yes	Fillable Printable
Form and Instruction	1	2023 NCCC Team Leader Application	NCCC_TL_Application_Supplement_Questions_2023.docx	www.americorps.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	800	0	800
Annual IC Time Burden (Hours)	1,600	0	1,600
Annual IC Cost Burden (Dollars)	69,216	43,616	25,600

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.