AmeriCorps Member Application, Enrollment, and Exit Form

AmeriCorps Member Application, Enrollment, and Exit Form

OMB: 3045-0054

IC ID: 251499

Information Collection (IC) Details

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AmeriCorps Member Application, Enrollment, and Exit Form
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 AmeriCorps Member Application AmeriCorps Member Application_CLEAN.docx www.americorps.gov Yes Yes Fillable Fileable
Form 2 AmeriCorps Enrollment and Exit Form 20220126 AmeriCorps Enrollment and Exit Forms.docx www.americorps.gov Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

AmeriCorps-04-CPO-MMF-Member Management Files (MMF)  85 FR 3896

521,000 0
   
Individuals or Households
 
   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 521,000 0 521,000 0 0 0
Annual IC Time Burden (Hours) 390,750 0 390,750 0 0 0
Annual IC Cost Burden (Dollars) 12,946,850 0 12,946,850 0 0 0

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