Criminal History Check Recordkeeping Requirement

OMB Control No: 3045-0145	ICR Reference No: 201209-3045-002
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: CNCS	Agency Tracking No:
Title: Criminal History Check Recordkeeping Requirement
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 09/27/2012
OIRA Conclusion Action: Preapproved	Conclusion Date: 09/25/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/21/2012
Terms of Clearance: This collection is approved under emergency processing and will expire in six months. CNCS will be required to submit this collection through the full Paperwork Reduction Act process in order to use this information collection past the six month approval. This is a pre-approval associated with a final rule making.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	6 Months From Approved
Responses	112,357	0	0
Time Burden (Hours)	28,089	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request covers the recordkeeping requirements associated with Criminal History Checks required by the Edward M. Kennedy Serve America Act.

Emergency Justfication: See attached Justification.

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Authorizing Statute(s): US Code: 42 USC 12645(g) Name of Law: National and Community Service Act

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3045-AA56	Final or interim final rulemaking

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Federal Register Notices & Comments
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 58529	09/21/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Criminal History Check Recordkeeping Requirement

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ICR Summary of Burden

	Total Request	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	112,357	0	0	112,357	0	0
Annual Time Burden (Hours)	28,089	0	0	28,089	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new recordkeeping requirement for Criminal History checks and so increases burden.

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Amy Borgstrom 202 606-6930 [email protected]

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 09/21/2012

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