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AmeriCorps National Civilian Community Corps Service Project Application

IC 42254 under ICR 202509-3045-001 · OMB 3045-0010.

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Form
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AmeriCorps National Civilian Community Corps Service Project Application
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 12612

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 3045-0010 NCCC Service Project Application 0010 - NCCC Service Project Application_EDITED-Clean.docx https://americorps.gov/sites/default/files/document/640_NPS03A_ServiceProjectApplication_NCCC_Trad_2021.10_0.pdf Yes Yes Fillable Fileable Signable

Community and Social Services Social Services

 

500 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 500 0 0 -1,300 0 1,800
Annual IC Time Burden (Hours) 4,125 0 0 -10,725 0 14,850
Annual IC Cost Burden (Dollars) 187,193 0 0 -317,559 0 504,752

Title Document Date Uploaded
Authorizing Statute Citation authorization.docx 08/11/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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