AmeriCorps Seniors Programs COVID Effects Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 04 Senior Companion Client Survey	Form and Instruction	Modified	Available
Form 03 Caregiver Survey	Form and Instruction	Modified	Available
Form 02 Volunteer Survey - Current and Former Volunteers	Form and Instruction	Modified	Repair queued
Form 01 Station Staff Survey	Form and Instruction	Modified	Available
Form 01 Surveys	Form and Instruction	Modified	Repair queued
0200- Nonsub Justification.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-26	Repair queued
0200- Nonsub Justification.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-26	Repair queued
60-Day Notice_ACS COVID Eval.pdf	Supplementary Document	Uploaded 2024-03-05	Available
60-Day Notice_ACS COVID Eval.pdf	Supplementary Document	Uploaded 2024-03-05	Repair queued
2024-04603 ACS Covid Effects Evaluation 30_day.pdf	Supplementary Document	Uploaded 2024-03-05	Available
2024-04603 ACS Covid Effects Evaluation 30_day.pdf	Supplementary Document	Uploaded 2024-03-05	Repair queued
ACS COVID Study_SSA.docx	Supporting Statement A	Uploaded 2024-03-05	Repair queued
ACS COVID Study_SSA.docx	Supporting Statement A	Uploaded 2024-03-05	Repair queued
42 U.S.C. 5056.pdf	Supplementary Document	Uploaded 2024-02-12	Available
42 U.S.C. 5056.pdf	Supplementary Document	Uploaded 2024-02-12	Repair queued
ACS COVID Study_SSB_FINAL.docx	Supporting Statement B	Uploaded 2024-05-01	Available
ACS COVID Study_SSB_FINAL.docx	Supporting Statement B	Uploaded 2024-05-01	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
265152	Focus Groups and Interviews	Other-Focus Group Protocol	Unchanged
265144	Surveys	Form and Instruction	Modified	Senior Companion Client Survey
265144	Surveys	Form and Instruction	Modified	Caregiver Survey
265144	Surveys	Form and Instruction	Modified	Volunteer Survey - Current and Former Volunteers
265144	Surveys	Form and Instruction	Modified	Station Staff Survey
265144	Surveys	Form and Instruction	Modified

ICR Details

OMB Control No: 3045-0200	ICR Reference No: 202503-3045-006
Status: Active	Previous ICR Reference No: 202402-3045-001
Agency/Subagency: CNCS	Agency Tracking No:
Title: AmeriCorps Seniors Programs COVID Effects Evaluation
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/27/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/26/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	05/31/2027	05/31/2027
Responses	5,048	0	5,048
Time Burden (Hours)	2,394	0	2,394
Cost Burden (Dollars)	113,419	0	113,419

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Abstract: This information collection will allow AmeriCorps to assess the well-being of AmeriCorps Seniors volunteers and communities served and examine current programmatic structure and service delivery processes that grantees and their host sites may have put in place in response to shifts in social, economic, and health due to the COVID-19 public health emergency.

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Authorizing Statute(s): US Code: 42 USC 5056(a) Name of Law: Domestic Volunteer Services Act of 1973, as amended
  

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 61574	09/07/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 15851	03/05/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Focus Groups and Interviews
Surveys	02, 01, 03, 04	Station Staff Survey ,   Volunteer Survey - Current and Former Volunteers ,   Caregiver Survey ,   Senior Companion Client Survey

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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	5,048	5,048	0	0	0	0
Annual Time Burden (Hours)	2,394	2,394	0	0	0	0
Annual Cost Burden (Dollars)	113,419	113,419	0	0	0	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 information collection is a necessary program change in response to the COVID-19 pandemic to evaluate how participation in AmeriCorps Seniors promotes healthy aging among its older adult volunteers and how the program effectively responded to a public health emergency to address shifting community needs while maintaining the benefits to the volunteers who serve these communities.

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Annual Cost to Federal Government: $263,708

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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? Yes

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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: 03/26/2025

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