National Civilian Community Corps (NCCC) Team Leader Application

ICR 202309-3045-001 · OMB 3045-0005 · Received in OIRA

⚠️ Notice: This information collection may be outdated.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

2023-12-14 - Extension without change of a currently approved collection

Forms and Documents

Document	Type	Status	Availability
Form 1 AmeriCorps*National Civilian Community Corps Team Leader Application	Form and Instruction	Modified	Repair queued
20230911 NCCC Team Leader Application SSA.docx	Supporting Statement A	Uploaded 2023-10-20	Repair queued
NCCC Member Impact Authorizing Citation 1.pdf	Supplementary Document	Uploaded 2020-08-12	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
29193	AmeriCorps*National Civilian Community Corps Team Leader Application	Form and Instruction	Modified

ICR Details

OMB Control No: 3045-0005	ICR Reference No: 202309-3045-001
Status: Received in OIRA	Previous ICR Reference No: 202008-3045-001
Agency/Subagency: CNCS	Agency Tracking No:
Title: National Civilian Community Corps (NCCC) Team Leader Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/20/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2023
Responses	800	800
Time Burden (Hours)	1,600	1,600
Cost Burden (Dollars)	69,216	25,600

Abstract: The AmeriCorps NCCC Team Leader application is the first part of the application process for acceptance into the NCCC program. This application is used to determine the eligibility of applicants to successfully serve in the Team Leader role.

Authorizing Statute(s): US Code: 42 USC 12501 Name of Law: NATIONAL AND COMMUNITY SERVICE ACT OF 1990

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 48802	07/28/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 72437	10/20/2023
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
AmeriCorps*National Civilian Community Corps Team Leader Application	1, 1	2020 NCCC Team Leader Application , 2023 NCCC Team Leader Application

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	800	800	0
Annual Time Burden (Hours)	1,600	1,600	0
Annual Cost Burden (Dollars)	69,216	25,600	43,616

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $61,920

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? No

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

Common Form ICR: No