Information Collection

AmeriCorps National Civilian Community Corps Service Project Application

IC 42254 under ICR 202509-3045-001 · OMB 3045-0010.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
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
Citation authorization.docx Authorizing Statute	IC Document

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3045-0010			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: 500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	500	-1,300	1,800
Annual IC Time Burden (Hours)	4,125	-10,725	14,850
Annual IC Cost Burden (Dollars)	187,193	-317,559	504,752

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authorizing Statute		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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