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Citizen Corps Individual Registration
Citizen Corps Individual Registration
OMB: 1660-0078
IC ID: 21175
OMB.report
DHS/FEMA
OMB 1660-0078
ICR 200609-1660-004
IC 21175
( )
Documents and Forms
Document Name
Document Type
Citizen Corps Individual Registration
Form and Instruction
Subscriber Registration Form
CC Subscriber Registration Form.pdf
www.citizencorps.gov/citizenCorps/volunteer.do
Form and Instruction
Executive Order 13254.pdf
Executive Order 13254
IC Document
5 U.S.C. 301.pdf
5 U.S.C. 301
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Citizen Corps Individual Registration
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
N/A
Subscriber Registration Form
CC Subscriber Registration Form.pdf
https://www.citizencorps.gov/citizenCorps/volunteer.do
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
40,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
95 %
Approved
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
40,000
0
0
0
0
40,000
Annual IC Time Burden (Hours)
3,333
0
0
0
0
3,333
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Executive Order 13254
Executive Order 13254.pdf
09/27/2006
5 U.S.C. 301
5 U.S.C. 301.pdf
09/27/2006
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.