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Civilian Response Corps Database In-Processing Electronic Form
Civilian Response Corps Database In-Processing Electronic Form
OMB: 1405-0168
IC ID: 15060
OMB.report
STATE/AFA
OMB 1405-0168
ICR 201208-1405-006
IC 15060
( )
Documents and Forms
Document Name
Document Type
Form DS4096
Civilian Response Corps Database In-Processing Electronic Form
Form and Instruction
DS4096 Civilian Response Corps Database In-Processing Electroni
CRC Electronic Application (20July12).pdf
crc.state.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Civilian Response Corps Database In-Processing Electronic Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
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
DS4096
Civilian Response Corps Database In-Processing Electronic Form
CRC Electronic Application (20July12).pdf
https://crc.state.gov
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
International Affairs and Commerce
Subfunction:
International Development and Humanitarian Aid
Privacy Act System of Records
Title:
Office of the Coordinator for Reconstruction and Stabilization Records
FR Citation:
74 FR 28088
Number of Respondents:
2,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
2,000
0
0
0
0
2,000
Annual IC Time Burden (Hours)
2,000
0
0
0
0
2,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.