Information Collection

Civilian Response Corps Database In-Processing Electronic Form

IC 15060 under ICR 201208-1405-006 · OMB 1405-0168.

Documents and Forms

Document Name Document Type
Form DS4096 Civilian Response Corps Database In-Processing Electronic Form Form and Instruction
DS4096 Civilian Response Corps Database In-Processing Electroni CRC Electronic Application (20July12).pdf crc.state.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Civilian Response Corps Database In-Processing Electronic Form	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	DS4096	Civilian Response Corps Database In-Processing Electronic Form	CRC Electronic Application (20July12).pdf	https://crc.state.gov	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title: Office of the Coordinator for Reconstruction and Stabilization Records	FR Citation: 74 FR 28088

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	2,000	2,000
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.