Native Youth Community Adaptation and Leadership Congress

Forms and Documents

Document Name	Status
Form 3-2549 NYCALC Mentor Waiver (Form 3-2549) Form	New
Form 3-2548 NYCALC Student Conduct Agreement (Form 3-2548) Form	New
Form 3-2547 NYCALC Parental Consent Form (Form 3-2547) Form	New
Form 3-2546 NYCALC Student Enrollment Information (Form 3-2546) Form	New
Form 3-2525 NYCALC Student Medical Information (Form 3-2525) Form	Modified
Form Online (Web) Form NYCALC Application (Online Form) Form and Instruction	Modified
1018-0176 30-day FRN NYCALC 10272021 86FR59416.pdf Supplementary Document	2021-10-27
1018-0176 NYCALC 60-day FRN 07192021 86FR38111.pdf Supplementary Document	2021-09-20
SORN DOI-16 LMS (83 FR 50682) Pub 10092018.pdf Supplementary Document	2021-02-18
1018-0176 NYCALC SSA 09202021.docx Supporting Statement A	2021-09-27
PTA - NYCALC Revised 8JAN2020.pdf Supplementary Document	2020-08-03
USFWS Native American Policy dated 01202016.pdf Supplementary Document	2020-08-03
16 USC § 1727b Indian Youth Service Corps .pdf Supplementary Document	2020-08-03
SO 3335 dated 08202014.pdf Supplementary Document	2020-07-07
SO 3206 dated 06051997.pdf Supplementary Document	2020-07-07
WCPD-2004-09-27-Pg2106.pdf Supplementary Document	2020-07-07
PubL 116-9 John D. Dingell, Jr. Conservation, Management, and Recreation Act dated 03122019.pdf Supplementary Document	2020-07-07
EO 13592 dated 12022011.pdf Supplementary Document	2021-09-27
EO 13515 dated 10142009.pdf Supplementary Document	2020-07-07
EO 13175 dated 11062000.pdf Supplementary Document	2020-07-07

IC Document Collections

IC ID	Document Title	Status
249415	NYCALC Mentor Waiver (Form 3-2549) Form	New
249414	NYCALC Student Conduct Agreement (Form 3-2548) Form	New
249413	NYCALC Parental Consent Form (Form 3-2547) Form	New
249412	NYCALC Student Enrollment Information (Form 3-2546) Form	New
242613	NYCALC Student Medical Information (Form 3-2525) Form	Modified
242608	NYCALC Application (Online Form) Form and Instruction	Modified

ICR Details

OMB Control No: 1018-0176	ICR Reference No: 202109-1018-004
Status: Received in OIRA	Previous ICR Reference No: 202007-1018-001
Agency/Subagency: DOI/FWS	Agency Tracking No:
Title: Native Youth Community Adaptation and Leadership Congress
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/28/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/29/2024
Responses	535	205
Time Burden (Hours)	546	470
Cost Burden (Dollars)	0	0

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Abstract: The Service offers eligible Native American, Alaskan Native, and Pacific Islander high school students the opportunity to apply for the Native Youth Community Adaptation and Leadership Congress (Congress, NYCALC). The mission of the Congress is to develop future conservation leaders with the skills, knowledge, and tools to address environmental change and conservation challenges to better serve their schools and home communities. The weeklong environmental conference fosters an inclusive, meaningful, educational opportunity for aspiring Native youth leaders interested in addressing environmental issues facing Native American, Alaskan Native, and Pacific Islander communities. Eligible students—representing a diverse mix of Native communities from various geographic locations, both urban and rural—compete for the opportunity to represent their Native communities from across the country. The students learn about environmental change and conservation while strengthening their leadership skills for addressing conservation issues within their own Native communities.

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Authorizing Statute(s): EO: EO 13175 Name/Subject of EO: Consultation and Coordination With Indian Tribal Governments
   EO: EO 13515 Name/Subject of EO: Increasing Participation of Asian Americans and Pacific Islanders in Federal Programs
   EO: EO 13592 Name/Subject of EO: Improving American Indian and Alaska Native Educational Opportunities and Strengthening Tribal Colle
   PL: Pub.L. 116 - 9 9003 Name of Law: John D. Dingell, Jr. Conservation, Management, and Recreation Act
   US Code: 16 USC 1727b Name of Law: Indian Youth Service Corps
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 38111	07/19/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 59416	10/27/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
NYCALC Application (Online Form)	Online (Web) Form	Native Youth Community Adaptation and Leadership Congress - Application and Instructions
NYCALC Mentor Waiver (Form 3-2549)	3-2549	Native Youth Community Adaptation and Leadership Congress - Mentor Waiver
NYCALC Parental Consent Form (Form 3-2547)	3-2547	Native Youth Community Adaptation and Leadership Congress - Parental Consent Form
NYCALC Student Conduct Agreement (Form 3-2548)	3-2548	Native Youth Community Adaptation and Leadership Congress - Student Conduct Agreement
NYCALC Student Enrollment Information (Form 3-2546)	3-2546	Native Youth Community Adaptation and Leadership Congress - Student Enrollment Information
NYCALC Student Medical Information (Form 3-2525)	3-2525	Native Youth Community Adaptation and Leadership Congress - Student Medical Information

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ICR Summary of Burden

	Total Request	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	535	205	0	330	0	0
Annual Time Burden (Hours)	546	470	0	76	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: With this submission, we are reporting a discretionary burden change of 330 annual responses and 76 annual burden hours associated with the new forms added to the collection.

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Annual Cost to Federal Government: $2,076

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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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: 10/28/2021

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