YOUTH CONSERVATION CORPS (YCC) APPLICATION AND MEDICAL HISTORY

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
103762	YOUTH CONSERVATION CORPS (YCC) APPLICATION AND MEDICAL HISTORY Form	Migrated

ICR Details

OMB Control No: 0596-0084	ICR Reference No: 199002-0596-001
Status: Historical Active	Previous ICR Reference No: 198611-0596-001
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: YOUTH CONSERVATION CORPS (YCC) APPLICATION AND MEDICAL HISTORY
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/13/1990
	Date Received in OIRA: 02/05/1990
Terms of Clearance: In accordance with the Paperwork Reduction Act and 5 CFR 1320, this information collection is approved until April 30, 1993. We urge the Forest Service to reexamine the Privacy Act statment included on the Youth Conservation Corps Medical Statement to determine whether additional routine uses for disclosure of this information under the Privacy Act are necessary and thus should be listed along with "provided to a physician in the event treatment is necessary."

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1993	04/30/1993	03/31/1990
Responses	27,500	0	27,500
Time Burden (Hours)	2,500	0	2,500
Cost Burden (Dollars)	0	0	0

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Abstract: THE YCC APPLICATION FORM PERMITS PUBLIC ACCESS TO EMPLOYMENT IN THE YCC PROGRA THE YOUTH CONSERVATION CORPS APPLICANT WHO IS SELECTED FOR EMPLOYMENT MUST SUBMIT A MEDICAL HISTORY REPORT VERIFYING THE YOUTH'S PHYSICAL SUITABILITY FOR THE PROGRAM. IF NOT USED, GOVERNMENT LIABILITY RISK WOULD BE HIGH, AND THE SPECIAL NEEDS OF AN INDIVIDUAL WOULD NOT BE KNOWN.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

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
YOUTH CONSERVATION CORPS (YCC) APPLICATION AND MEDICAL HISTORY	FS-1800-3, 1800-18

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ICR Summary of Burden

	Total Approved	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	27,500	27,500	0	0	0	0
Annual Time Burden (Hours)	2,500	2,500	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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:

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Annual Cost to Federal Government: $0

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 02/05/1990

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