AmeriCorps Seniors Grant Applications and Reports

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4 Respite Survey	Form and Instruction	Modified	Available
Form 3 Independent Living Survey	Form and Instruction	Modified	Available
Form 2 Progress Report Instructions	Form and Instruction	Modified	Available
Form 1 Application Instructions	Form and Instruction	Modified	Available
02 - NACSA.pdf	Public Comments	Uploaded 2026-09-30	Available
01 - Kinder, Laura.pdf	Public Comments	Uploaded 2026-09-30	Available
2026-19641 AmeriCorps Seniors 30.day.pdf	Supplementary Document	Uploaded 2026-09-30	Available
60-Day Notice ACS_06-25-26.pdf	Supplementary Document	Uploaded 2026-09-30	Available
42 U.S.C. 5001 5011 5013 5028 5056.pdf	Supplementary Document	Uploaded 2023-09-11	Available
ACS Grant App SSA 2026.docx	Supporting Statement A	Uploaded 2026-09-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249441	AmeriCorps Seniors Grant Application and Reports	Form and Instruction	Modified	Respite Survey
249441	AmeriCorps Seniors Grant Application and Reports	Form and Instruction	Modified	Independent Living Survey
249441	AmeriCorps Seniors Grant Application and Reports	Form and Instruction	Modified	Progress Report Instructions
249441	AmeriCorps Seniors Grant Application and Reports	Form and Instruction	Modified	Application Instructions
249441	AmeriCorps Seniors Grant Application and Reports	Other-List of Questions to Be Moved to PPR	Modified

ICR Details

OMB Control No: 3045-0035	ICR Reference No: 202606-3045-004
Status: Received in OIRA	Previous ICR Reference No: 202502-3045-002
Agency/Subagency: CNCS	Agency Tracking No:
Title: AmeriCorps Seniors Grant Applications and Reports
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/30/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2026
Responses	5,000	6,250
Time Burden (Hours)	5,000	6,250
Cost Burden (Dollars)	336,950	309,313

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Abstract: The Corporation for National and Community Service (CNCS), doing business as AmeriCorps, is submitting a revision of this information collection, which includes the application for AmeriCorps Seniors grant programs, progress report, progress report supplement (PRS), and survey instruments related to the AmeriCorps Seniors program. Revisions are being made to remove the PRS and move some of the PRS questions to the progress report to reduce the number of reports overall.

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Authorizing Statute(s): PL: Pub.L. 106 - 170 5013 Name of Law: Domestic Volunteer Service Act (DVSA) as Amended
   PL: Pub.L. 106 - 170 5011 Name of Law: Domestic Volunteer Service Act (DVSA) as Amended
   PL: Pub.L. 106 - 170 5082 Name of Law: Domestic Volunteer Service Act (DVSA) as Amended
   PL: Pub.L. 106 - 170 5001 Name of Law: Domestic Volunteer Service Act (DVSA) 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:
	91 FR 38408	06/25/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 60942	09/30/2026
Did the Agency receive public comments on this ICR? Yes

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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
AmeriCorps Seniors Grant Application and Reports	1, 2, 3, 4	Application Instructions ,   Progress Report Instructions ,   Independent Living Survey ,   Respite Survey

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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	5,000	6,250	0	-1,250	0	0
Annual Time Burden (Hours)	5,000	6,250	0	-1,250	0	0
Annual Cost Burden (Dollars)	336,950	309,313	0	-61,863	89,500	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This revision reduces the number of responses per respondent from 5 to 4 per year by eliminating the PRS and accordingly decreases the total number of responses from 6,250 to 5,000.

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Annual Cost to Federal Government: $185,588

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: 09/30/2026

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