AmeriCorps*National Civilian Community Corps Service Project Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0010 can be found here:

Documents and Forms

Document Name Document Type
Form 1 AmeriCorps*National Civilian Community Corps Service Project Application Form and Instruction
1 NCCC Project Sponsor application DH Draft5 3-08-13 - NCCC Project Sponsor Application.doc www.nationalservice.gov Form and Instruction
1 2016 NCCC Project Sponsor Application AmeriCorps NCCC Application Packet - March 2016 - For OMB Approval.pdf www.nationalservice.gov Form and Instruction
Citation authorization.doc Authorizing Statute IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	AmeriCorps*National Civilian Community Corps Service Project Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 12612

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	NCCC Project Sponsor application	DH Draft5 3-08-13 - NCCC Project Sponsor Application.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	1	2016 NCCC Project Sponsor Application	AmeriCorps NCCC Application Packet - March 2016 - For OMB Approval.pdf	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,800	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,800	600	1,200
Annual IC Time Burden (Hours)	17,100	8,100	9,000
Annual IC Cost Burden (Dollars)	0	-150,857	150,857

Documents for IC

Title	Document	Date Uploaded
Authorizing Statute	Citation authorization.doc	01/31/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.