AmeriCorps Program Life Cycle Evaluation – Puerto Rico Bundled Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form PRBE Bundled Evaluation - Puerto Rico	Form and Instruction	Modified	Available
Form PRBE Bundled Evaluation	Form and Instruction	Modified	Repair queued
0202- Nonsub Justification.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-26	Available
0202- Nonsub Justification.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-26	Repair queued
30-Day Notice.pdf	Supplementary Document	Uploaded 2024-07-08	Available
30-Day Notice.pdf	Supplementary Document	Uploaded 2024-07-08	Repair queued
Life cycle evaluation PR SSA_FINAL.docx	Supporting Statement A	Uploaded 2024-08-30	Available
Life cycle evaluation PR SSA_FINAL.docx	Supporting Statement A	Uploaded 2024-08-30	Repair queued
60-Day Notice.pdf	Supplementary Document	Uploaded 2024-06-28	Available
60-Day Notice.pdf	Supplementary Document	Uploaded 2024-06-28	Repair queued
NCSA 42 USC 12501 et seq.pdf	Supplementary Document	Uploaded 2024-06-28	Available
NCSA 42 USC 12501 et seq.pdf	Supplementary Document	Uploaded 2024-06-28	Missing upstream
20240312 life cycle evaluation PR SSB_FINAL.docx	Supporting Statement B	Uploaded 2024-08-30	Available
20240312 life cycle evaluation PR SSB_FINAL.docx	Supporting Statement B	Uploaded 2024-08-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
269085	Bundled Evaluation	Form and Instruction	Modified	Bundled Evaluation - Puerto Rico
269085	Bundled Evaluation	Form and Instruction	Modified

ICR Details

OMB Control No: 3045-0202	ICR Reference No: 202503-3045-007
Status: Active	Previous ICR Reference No: 202406-3045-002
Agency/Subagency: CNCS	Agency Tracking No:
Title: AmeriCorps Program Life Cycle Evaluation – Puerto Rico Bundled 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	09/30/2027	09/30/2027	09/30/2027
Responses	697	0	697
Time Burden (Hours)	530	0	530
Cost Burden (Dollars)	7,825	0	7,825

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Abstract: This new information collection, for the Puerto Rico Bundled Evaluation, will evaluate the context, implementation, and outcomes of 13 AmeriCorps-supported organizations in Puerto Rico with AmeriCorps State and National formula grants (funded through the Puerto Rico service commission, Comisión de Voluntariado y Servicio Comunitario), as well as those that have both AmeriCorps State and National grants and AmeriCorps VISTA projects. This information collection will also evaluate the effectiveness of evaluation capacity building workshops to be provided to the bundle participants.

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Authorizing Statute(s): US Code: 42 USC 12639 Name of Law: National and Community Service Act of 1990, 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:
	89 FR 20952	03/26/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 55932	07/08/2024
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
Bundled Evaluation	PRBE	Bundled Evaluation - Puerto Rico

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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	697	697	0	0	0	0
Annual Time Burden (Hours)	530	530	0	0	0	0
Annual Cost Burden (Dollars)	7,825	7,825	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: A program change due to agency discretion for this new information collection request is the reason for the increase in burden hours, to allow AmeriCorps to evaluate the outcomes of organizations in Puerto Rico with AmeriCorps State and National formula grants (funded through the Puerto Rico service commission, Comisión de Voluntariado y Servicio Comunitario), as well as those that have both AmeriCorps State and National grants and AmeriCorps VISTA projects, and the effectiveness of capacity-building workshops by those who participate in the bundled evaluation.

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Annual Cost to Federal Government: $486,000

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? 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: 03/26/2025

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