OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Civilian Response Corps Database In-Processing Electronic Form

ICR 201208-1405-006 · OMB 1405-0168 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DS4096 Civilian Response Corps Database In-Processing Electronic Form Form and Instruction Modified Repair queued
Supporting Statement for PRA Submission.docx Supporting Statement A Uploaded 2012-08-29 Repair queued
Legal Authorities - 082012.docx Supplementary Document Uploaded 2012-08-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
15060 Civilian Response Corps Database In-Processing Electronic Form Form and Instruction Modified
ICR Details
1405-0168 201208-1405-006
Historical Active 200906-1405-002
STATE/AFA
Civilian Response Corps Database In-Processing Electronic Form
Extension without change of a currently approved collection   No
Regular
Approved without change 11/29/2012
Retrieve Notice of Action (NOA) 08/29/2012
  Inventory as of this Action Requested Previously Approved
11/30/2015 36 Months From Approved 11/30/2012
2,000 0 2,000
2,000 0 2,000
0 0 0
The information collected is an important part of the Department's responsibility to coordinate U.S. Government planning; institutionalize U.S. Reconstruction and Stabilization (R&S) capacity; and help stabilize and reconstruct societies in transition from conflict or civil strife so they can reach a sustainable path toward peace, democracy, and a market economy. The information gathered will be used to identify Civilian Response Corps members who are available to participate in CRC missions.
PL: Pub.L. 108 - 447 408 Name of Law: Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act,
   US Code: 22 USC 2651 Name of Law: Organization of Department of State
   US Code: 5 USC 301 Name of Law: Government Organization and Employees; Departmental regulations
  
None
Not associated with rulemaking
  77 FR 21618 04/10/2012
77 FR 47690 08/09/2012
No
1
IC Title Form No. Form Name
Civilian Response Corps Database In-Processing Electronic Form DS4096 Civilian Response Corps Database In-Processing Electronic 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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 2,000 2,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$14,000
No
No
No
No
No
Uncollected
John Tuten 703 452-8861 [email protected]
  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.
08/29/2012