Information Collection

Citizen Corps Council Registration

IC 21176 under ICR 200701-1670-002 · OMB 1670-0004.

Documents and Forms

Document Name Document Type
Citizen Corps Council Registration Form and Instruction
Council Registration Form Council Registration Form 1660-0079.pdf www.citizencorps.gov/citizenCorps/councilAddStart.do Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Citizen Corps Council Registration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Council Registration Form	Council Registration Form 1660-0079.pdf	https://www.citizencorps.gov/citizenCorps/councilAddStart.do	Yes	Yes	Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.