OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Childcare Benefit Forms

OMB 3045-0142 ยท CNCS.

OMB 3045-0142

These forms are submitted by AmeriCorps members and by childcare providers for the purpose of applying for, and receiving payment for the care of children during the day while the AmeriCorps members are serving.

The latest form for Childcare Benefit Forms expires 2028-04-30 and is listed under ICR 202409-3045-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 8 Program Certification of Active ServiceForm and Instruction
Form 7 AmeriCorps Unlicensed Provider AffidavitForm and Instruction
Form 6 Childcare Payment AuthorizationForm and Instruction
Form 5 Member Update FormForm and Instruction
Form 4 Statement of Work ActivityForm and Instruction
Form 3 Childcare Attendance SheetForm and Instruction
Form 2 Member ApplicationForm and Instruction
Form 1 Provider ApplicationForm and Instruction
30-day Notice_Childcare_03-04-2025.pdfSupplementary Document
60-Day_12-17-2024.pdfSupplementary Document
42 USC 12594.pdfSupplementary Document
Childcare Application SSA_2025.docxSupporting Statement A
Childcare Application Forms Form and Instruction
Childcare Application Forms Form and Instruction
Childcare Application Forms Form and Instruction
Childcare Application Forms Form and Instruction
Childcare Application Forms Form and Instruction
Childcare Application Forms Form and Instruction
Childcare Application Forms Form and Instruction
Childcare Application Forms Form and Instruction
Childcare Application Forms Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202409-3045-003 Extension without change of a currently approved collection 2025-03-04
202112-3045-001 Revision of a currently approved collection 2021-12-03 Approved with change
201809-3045-002 Revision of a currently approved collection 2018-09-19 Approved without change
201508-3045-001 Reinstatement without change of a previously approved collection 2015-08-07 Approved without change
201204-3045-001 New collection (Request for a new OMB Control Number) 2012-04-20 Approved with change