AmeriCorps VISTA Application and Reporting Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 7 VISTA Project Report Supplement	Form and Instruction	Modified	Repair queued
Form 6 VISTA Project Progress Report	Form and Instruction	Modified	Available
Form 5 VISTA Support Budget	Form and Instruction	Modified	Available
Form 4 VISTA Standard Budget	Form and Instruction	Modified	Available
Form 3 VISTA Program Budget	Form and Instruction	Modified	Available
Form 2 VISTA Application	Form and Instruction	Modified	Available
Form 1 VISTA Concept Paper Application	Form and Instruction	Modified	Available
Form 1 2021 VISTA Application and Reporting Forms	Form and Instruction	Modified	Repair queued
2024-01864 VISTA Application 30.day.pdf	Supplementary Document	Uploaded 2024-01-31	Repair queued
VISTA Application 60-Day.pdf	Supplementary Document	Uploaded 2024-01-31	Repair queued
VISTA_DVSA.pdf	Supplementary Document	Uploaded 2021-03-31	Repair queued
3045-0038 VISTA Application_SSA_01-31-24.docx	Supporting Statement A	Uploaded 2024-01-31	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
246519	2021 VISTA Application and Reporting Forms	Form and Instruction	Modified	VISTA Project Report Supplement
246519	2021 VISTA Application and Reporting Forms	Form and Instruction	Modified	VISTA Project Progress Report
246519	2021 VISTA Application and Reporting Forms	Form and Instruction	Modified	VISTA Support Budget
246519	2021 VISTA Application and Reporting Forms	Form and Instruction	Modified	VISTA Standard Budget
246519	2021 VISTA Application and Reporting Forms	Form and Instruction	Modified	VISTA Program Budget
246519	2021 VISTA Application and Reporting Forms	Form and Instruction	Modified	VISTA Application
246519	2021 VISTA Application and Reporting Forms	Form and Instruction	Modified	VISTA Concept Paper Application
246519	2021 VISTA Application and Reporting Forms	Form and Instruction	Modified

ICR Details

OMB Control No: 3045-0038	ICR Reference No: 202401-3045-002
Status: Active	Previous ICR Reference No: 202103-3045-006
Agency/Subagency: CNCS	Agency Tracking No:
Title: AmeriCorps VISTA Application and Reporting Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/11/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/31/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved	05/31/2024
Responses	750	0	1,195
Time Burden (Hours)	13,763	0	15,350
Cost Burden (Dollars)	536,738	0	459,884

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Abstract: The AmeriCorps VISTA Concept Paper and application are used by AmeriCorps to determine the suitability of applicants to receive VISTA resources, and to make approval decisions based on the information presented. The AmeriCorps VISTA Project Progress Report (project-specific performance measurement) and the VISTA Progress Report Supplement (national performance metrics) are used by AmeriCorps to monitor ongoing performance of sponsoring organizations and to collect key national performance data.

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Authorizing Statute(s): US Code: 42 USC 4953 Name of Law: Domestic Service Volunteer Act of 1973
   US Code: 42 USC 12615 Name of Law: National and Community Service Act
   US Code: 42 USC 12592 Name of Law: National and Community Service Act
  

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:
	88 FR 80285	11/17/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 6099	01/31/2024
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
2021 VISTA Application and Reporting Forms	1, 2, 3, 4 , 5, 6, 7	VISTA Concept Paper Application ,   VISTA Application ,   VISTA Program Budget ,   VISTA Standard Budget ,   VISTA Support Budget ,   VISTA Project Progress Report ,   VISTA Project Report Supplement

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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	750	1,195	0	0	-445	0
Annual Time Burden (Hours)	13,763	15,350	0	0	-1,587	0
Annual Cost Burden (Dollars)	536,738	459,884	0	0	76,854	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 number of responses and time burden decreased and the annual cost burden increased due to adjustments in the estimates to reflect a decreased number of applicants over the past several years and updated cost per hour references, respectively.

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Annual Cost to Federal Government: $234,150

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: 01/31/2024

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