Information Collection

Education Award Transfer forms

IC 195004 under ICR 201407-3045-002 · OMB 3045-0136.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0136 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Education Award Transfer forms Form and Instruction
1 Transfer Application Form Award Transfer Application Form wOGC edits.doc my.americorps.gov/mp/login.do Form and Instruction
2 Award Transfer Acceptance Form Award Transfer Acceptance Form wOGC edits.doc my.americorps.gov/mp/login.do Form and Instruction
3 Award Transfer Rescind Form Award Transfer Rescind Form wOGC edits.doc my.americorps.gov/mp/login.do Form and Instruction
4 Award Transfer Revoke Form Award Transfer Revoke Form wOGC edits.doc my.americorps.gov/mp/login.do Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Education Award Transfer forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 12501

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Transfer Application Form	Award Transfer Application Form wOGC edits.doc	https://my.americorps.gov/mp/login.do	Yes	Yes	Fillable Fileable
Form and Instruction	2	Award Transfer Acceptance Form	Award Transfer Acceptance Form wOGC edits.doc	https://my.americorps.gov/mp/login.do	Yes	Yes	Fillable Fileable
Form and Instruction	3	Award Transfer Rescind Form	Award Transfer Rescind Form wOGC edits.doc	https://my.americorps.gov/mp/login.do	Yes	Yes	Fillable Fileable
Form and Instruction	4	Award Transfer Revoke Form	Award Transfer Revoke Form wOGC edits.doc	https://my.americorps.gov/mp/login.do	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,420	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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,420	1,020	400
Annual IC Time Burden (Hours)	118	85	33
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.