AmeriCorps Member
Application, Enrollment, and Exit Form
Revision of a currently approved collection
No
Regular
02/09/2022
Requested
Previously Approved
36 Months From Approved
02/28/2022
521,000
225,000
390,750
281,250
12,946,850
0
AmeriCorps is soliciting comments
concerning its proposed new AmeriCorps Member Application,
Enrollment, and Exit Form. Applicants will respond to the questions
included in this information collection tool to apply to serve as
AmeriCorps members, enroll in the National Service Trust, and exit
their term of service.
The burden has increased
because we have added the AmeriCorps Enrollment and Exit Forms
(former 3045-0006) to this ICR in anticipation of IT modernization
which will result in a single form. The burden shows a decrease
because we removed the former ICR.
$4,315,182
No
Yes
Yes
No
No
No
No
Amy Borgstrom 202 606-6930
aborgstrom@cns.gov
No
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:
(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;
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.