Education Award Transfer Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4 Award Transfer Revoke Form	Form and Instruction	Modified	Available
Form 3 Award Transfer Rescind Form	Form and Instruction	Modified	Available
Form 2 Award Transfer Acceptance Form	Form and Instruction	Modified	Available
Form 1 Transfer Application Form	Form and Instruction	Modified	Available
30-Day Notice 08-27-2026.pdf	Supplementary Document	Uploaded 2026-08-27	Available
60-Day Notice 05-14-2026.pdf	Supplementary Document	Uploaded 2026-08-26	Available
SSA Ed Award Transfer Forms_FINAL.docx	Supporting Statement A	Uploaded 2026-08-26	Available
National_Community_Service_Act_Of_1990_as_Amended_by_the_Serve_America_Act.pdf	Supplementary Document	Uploaded 2022-10-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
195004	Education Award Transfer forms	Form and Instruction	Modified	Award Transfer Revoke Form
195004	Education Award Transfer forms	Form and Instruction	Modified	Award Transfer Rescind Form
195004	Education Award Transfer forms	Form and Instruction	Modified	Award Transfer Acceptance Form
195004	Education Award Transfer forms	Form and Instruction	Modified	Transfer Application Form

ICR Details

OMB Control No: 3045-0136	ICR Reference No: 202604-3045-001
Status: Received in OIRA	Previous ICR Reference No: 202307-3045-005
Agency/Subagency: CNCS	Agency Tracking No:
Title: Education Award Transfer Forms
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/27/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2026
Responses	900	900
Time Burden (Hours)	75	75
Cost Burden (Dollars)	4,967	0

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Abstract: This information collection consists of forms AmeriCorps members use to request a transfer of their education award or revoke a transfer, and forms that transfer recipients use to accept or decline the transfer or rescind their acceptance. The information collected identifies those qualified to transfer their award, the transfer award amount, and those qualified to receive the award transfer, as well as establish a trust account for the transfer recipient.

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Authorizing Statute(s): US Code: 42 USC 12501 et seq. Name of Law: National and Community Service Act, as amended by the Edward M. Kennedy Serve America 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:
	91 FR 27309	05/14/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 55327	08/27/2026
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
Education Award Transfer forms	1, 4, 2, 3	Transfer Application Form ,   Award Transfer Acceptance Form ,   Award Transfer Rescind Form ,   Award Transfer Revoke Form

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	900	900	0	0	0	0
Annual Time Burden (Hours)	75	75	0	0	0	0
Annual Cost Burden (Dollars)	4,967	0	0	0	4,967	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:

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Annual Cost to Federal Government: $4,182

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: 08/27/2026

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