Corporation for National Service, Enrollment and Exit Forms

OMB 3045-0006

The Corporation for National Service Enrollment form is the means by which information is collected on individuals who enroll and exit for a term of national service in an AmeriCorps or Learn and Serve America Summer of Service program. The form "reserves" an education award for the AmeriCorps member and collects demographic information that is entered into the Corporation's database. This revision changes the burden on the information collection request based on actual use of the forms.

The latest form for Corporation for National Service, Enrollment and Exit Forms expires 2023-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Corporation for National Service, Enrollment Form Form and Instruction
Enrollment and Exit Authorizing Language.pdf Supplementary Document
20180628 Justification of Nonsusbtantive Change.docx Supplementary Document
20180628 Justification of Nonsusbtantive Change.docx Justification for No Material/Nonsubstantive Change
Justification for Request for Nonsubstantive Change in AmeriCorps Enrollment and Exit Forms 3045.docx Justification for No Material/Nonsubstantive Change
20210527 CPO AmeriCorps Enrollment and Exit FormSSA.docx Supporting Statement A
Corporation for National Service, Enrollment Form Form and Instruction

All Historical Document Collections

202106-3045-002 Approved with change	Revision of a currently approved collection	2021-06-25
202007-3045-001 Approved with change	Revision of a currently approved collection	2020-07-02
201806-3045-002 Approved with change	No material or nonsubstantive change to a currently approved collection	2018-06-22
201712-3045-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-12-13
201706-3045-002 Approved without change	Extension without change of a currently approved collection	2017-06-16
201404-3045-002 Approved with change	Revision of a currently approved collection	2014-04-10
201302-3045-007 Approved without change	Revision of a currently approved collection	2013-02-26
201006-3045-002 Approved with change	Revision of a currently approved collection	2010-07-22
200704-3045-004 Approved without change	Revision of a currently approved collection	2007-04-30
200402-3045-006 Approved with change	Revision of a currently approved collection	2004-02-27
200009-3045-002 Approved without change	Revision of a currently approved collection	2000-09-28
199805-3045-002 Approved without change	Reinstatement with change of a previously approved collection	1998-05-13
199707-3045-002 Approved without change	Revision of a currently approved collection	1997-07-25
199704-3045-001 Approved without change	Reinstatement with change of a previously approved collection	1997-04-18
199610-3045-002 Improperly submitted	Reinstatement with change of a previously approved collection	1996-10-22
199404-3045-002 Approved without change	New collection (Request for a new OMB Control Number)	1994-04-20