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DI-4014, Youth Conservation Corps Application
Youth Conservation Corps Application and Medical History Forms
OMB: 1093-0010
IC ID: 242576
OMB.report
DOI/OS
OMB 1093-0010
ICR 202311-1093-001
IC 242576
( )
Documents and Forms
Document Name
Document Type
Form DI-4014
DI-4014, Youth Conservation Corps Application
Form and Instruction
DI-4014 YCC Application Form
1093-0010 - DI-4014 Youth Conservation Application. 7.26.2023.pdf
Form and Instruction
DI-4014 YCC Application Form
1093-0010 FORM DI-4014 YCC MEMBER APPLICATION (11.20.2023).docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DI-4014, Youth Conservation Corps Application
Agency IC Tracking Number:
Is this a Common Form?
Yes
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
DI-4014
YCC Application Form
1093-0010 FORM DI-4014 YCC MEMBER APPLICATION (11.20.2023).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Conservation, Marine and Land Management
Privacy Act System of Records
Title:
INTERIOR/OS-25, YCC Enrollee Records
FR Citation:
56 FR 41700
Number of Respondents:
8,599
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
75 %
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
8,599
0
0
0
0
8,599
Annual IC Time Burden (Hours)
3,583
0
0
0
0
3,583
Annual IC Cost Burden (Dollars)
0
0
0
0
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.