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Federal forms, ICRs, and supporting documents

Information Collection Request

AmeriCorps* National/State Participant Change of Status/Term Form

ICR 199506-3045-001 · OMB 3045-0027 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
149238 AmeriCorps* National/State Participant Change of Status/Term Form Migrated
ICR Details
3045-0027 199506-3045-001
Historical Active
CNCS
AmeriCorps* National/State Participant Change of Status/Term Form
New collection (Request for a new OMB Control Number)   No
Expedited
Approved without change 08/04/1995
Retrieve Notice of Action (NOA) 06/09/1995
Approved as amended by CNCS' 8/4/95 memorandum to OMB. In addition, CNCS has agreed to continue assessing this form to determine whether collection of expected completion date information continues to be necessary for the universe of participants, since coolection on a sample basis may become sufficient for projections purposes.
  Inventory as of this Action Requested Previously Approved
08/31/1998 08/31/1998
100 0 0
500 0 0
0 0 0
This form will be used to indicate whether a participant changes either a term of service or a change of status. Effective dates for both of these types of changes will also be indicated.
None
None
No
1
IC Title Form No. Form Name
AmeriCorps* National/State Participant Change of Status/Term Form
  Total Approved 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 100 0 0 100 0 0
Annual Time Burden (Hours) 500 0 0 500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/09/1995