Information Collection

AmeriCorps National Civilian Community Corps Service Project Application

IC 42254 under ICR 202502-3045-001 · OMB 3045-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0010 can be found here:

Documents and Forms

Document Name Document Type
Form 3045-0010 AmeriCorps National Civilian Community Corps Service Project Application Form
Form 3045-0010 NCCC Service Project Application AmeriCorps National Civilian Community Corps Service Project Application Form
3045-0010 NCCC Service Project Application 0010 - NCCC Service Project Application_EDITED-Clean.docx americorps.gov/sites/default/files/document/640_NPS03A_ServiceProjectApplication_NCCC_Trad_2021.10_0.pdf Form
3045-0010 NCCC Service Project Application 0010 - NCCC Service Project Application_EDITED-Clean.docx americorps.gov/sites/default/files/document/640_NPS03A_ServiceProjectApplication_NCCC_Trad_2021.10_0.pdf Form
Citation authorization.docx Authorizing Statute IC Document
Citation authorization.docx Authorizing Statute IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	AmeriCorps National Civilian Community Corps Service Project Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 12612

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3045-0010	NCCC Service Project Application	0010 - NCCC Service Project Application_EDITED-Clean.docx	https://americorps.gov/sites/default/files/document/640_NPS03A_ServiceProjectApplication_NCCC_Trad_2021.10_0.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,800	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	14,850	14,850
Annual IC Cost Burden (Dollars)	504,752	504,752

Documents for IC

Title	Document	Date Uploaded
Authorizing Statute	Citation authorization.docx	08/11/2022

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

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