Information Collection

AmeriCorps*National Civilian Community Corps Team Leader Application

IC 29193 under ICR 201106-3045-001 · OMB 3045-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0005 can be found here:

Documents and Forms

Document Name Document Type
Form 1 AmeriCorps*National Civilian Community Corps Team Leader Application Form and Instruction
1 NCCC Team Leader Application Final Cleared Version TL app 2011 Revised Final-with-privacy.rtf www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	AmeriCorps*National Civilian Community Corps Team Leader Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	1	NCCC Team Leader Application	Final Cleared Version TL app 2011 Revised Final-with-privacy.rtf	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	400	100	300
Annual IC Time Burden (Hours)	800	500	300
Annual IC Cost Burden (Dollars)	0	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.