AmeriCorps*National Civilian Community Corps Team Leader Application

AmeriCorps National Civilian Community Corps Team Leader Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0005 can be found here:

Documents and Forms

Document Name Document Type
Form 1 AmeriCorps*National Civilian Community Corps Team Leader Application Form and Instruction
1 NCCC Team Leader Application 2014 NCCC Team Leader Application with Privacy Statement.doc www.nationalservice.gov Form and Instruction
1 NCCC Team Leader Application AmeriCorps NCCC TL Application 2017 - Team Leader Application (online).docx www.nationalservice.com Form and Instruction

Information Collection (IC) Details

IC Title:	AmeriCorps*National Civilian Community Corps Team Leader Application	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	1	NCCC Team Leader Application 2014	NCCC Team Leader Application with Privacy Statement.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	1	NCCC Team Leader Application	AmeriCorps NCCC TL Application 2017 - Team Leader Application (online).docx	www.nationalservice.com	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	1,600	1,600
Annual IC Cost Burden (Dollars)	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.