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Federal forms, ICRs, and supporting documents

Information Collection Request

Youth Conservation Corps Application & Medical History Forms.

ICR 200007-0596-001 · OMB 0596-0084 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
3194 Youth Conservation Corps Application & Medical History Forms. Form Migrated
ICR Details
0596-0084 200007-0596-001
Historical Active 199409-0596-001
USDA/FS
Youth Conservation Corps Application & Medical History Forms.
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 09/25/2000
Retrieve Notice of Action (NOA) 07/21/2000
  Inventory as of this Action Requested Previously Approved
12/31/2003 12/31/2003
18,000 0 0
6,000 0 0
0 0 0
The YCC application form permits public access to employment in the YCC Program. The YCC applicant, who is selected for employment must submit a medical history form verifying their physical suitability for the program. If not used, government liability risk would be high and the special needs of an individual would not be known.
None
None
No
1
IC Title Form No. Form Name
Youth Conservation Corps Application & Medical History Forms. FS-1800-3, FS-1800-18
  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 18,000 0 0 18,000 0 0
Annual Time Burden (Hours) 6,000 0 0 6,000 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.
07/21/2000