OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

AmeriCorps National Civilian Community Corps Team Leader Application

ICR 202312-3045-001 · OMB 3045-0005 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 1 AmeriCorps*National Civilian Community Corps Team Leader Application Form and Instruction Modified Repair queued
30-Day Notice_NCCC Team Lead.pdf Supplementary Document Uploaded 2023-12-14 Missing upstream
60-Day Notice_NCCC Team Lead.pdf Supplementary Document Uploaded 2023-12-14 Repair queued
20231214 NCCC Team Leader Application SSA.docx Supporting Statement A Uploaded 2023-12-14 Missing upstream
NCCC Member Impact Authorizing Citation 1.pdf Supplementary Document Uploaded 2020-08-12 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
29193 AmeriCorps*National Civilian Community Corps Team Leader Application Form and Instruction Modified
ICR Details
3045-0005 202312-3045-001
Received in OIRA 202008-3045-001
CNCS
AmeriCorps National Civilian Community Corps Team Leader Application
Extension without change of a currently approved collection   No
Regular 12/14/2023
  Requested Previously Approved
36 Months From Approved 12/31/2023
800 800
1,600 1,600
69,216 25,600
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.
US Code: 42 USC 12501 Name of Law: NATIONAL AND COMMUNITY SERVICE ACT OF 1990
  
None
Not associated with rulemaking
  88 FR 48802 07/28/2023
88 FR 72437 10/20/2023
No
1
IC Title Form No. Form Name
AmeriCorps*National Civilian Community Corps Team Leader Application 1 2020 NCCC Team Leader Application
  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 800 800 0 0 0 0
Annual Time Burden (Hours) 1,600 1,600 0 0 0 0
Annual Cost Burden (Dollars) 69,216 25,600 0 0 43,616 0
No
No
$61,920
No
    No
    No
No
No
No
No
Elizabeth Appel 202 273-4680 [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.
12/14/2023