NCCC Sponsor Survey

Forms and Documents

Document Name	Status
Form 5 NCCC Housing Survey Form and Instruction	New
Form 4 NCCC Environment Survey Form and Instruction	New
Form 3 NCCC Disaster Services Survey Form and Instruction	New
Form 2 NCCC Volunteer Services Survey Form and Instruction	New
Form 1 NCCC Successful Service Intervention Survey Form and Instruction	New
Part B OMB notes 5-4-11.doc Supporting Statement B	2011-05-05
NCCC Performance Measures Justification 5-25-11.doc Supporting Statement A	2011-05-25

IC Document Collections

IC ID	Document Title	Status
197675	NCCC Housing Survey Form and Instruction	New
197674	NCCC Environment Survey Form and Instruction	New
197673	NCCC Disaster Services Survey Form and Instruction	New
197672	NCCC Volunteer Services Survey Form and Instruction	New
197671	NCCC Successful Service Intervention Survey Form and Instruction	New

ICR Details

OMB Control No: 3045-0138	ICR Reference No: 201102-3045-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: CNCS	Agency Tracking No:
Title: NCCC Sponsor Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/25/2011
	Date Received in OIRA: 02/24/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved
Responses	1,485	0	0
Time Burden (Hours)	197	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This survey will be used to collect performance data from National Civilian Community Corps (NCCC) project sponsors and project partnerships.

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Authorizing Statute(s): US Code: 42 USC 12612 Name of Law: National Community Service Act of 1990 as amended
  

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:
	75 FR 71419	11/23/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 6121	02/03/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
NCCC Successful Service Intervention Survey	1	Successful Service Intervention Survey
NCCC Volunteer Services Survey	2	NCCC Volunteer Service Survey
NCCC Environment Survey	4	NCCC Environment Survey
NCCC Disaster Services Survey	3	NCCC Disaster Readiness Survey
NCCC Housing Survey	5	NCCC Housing Survey

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ICR Summary of Burden

	Total Approved	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	1,485	0	0	1,485	0	0
Annual Time Burden (Hours)	197	0	0	197	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: Burden increases because this is a new ICR.

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Annual Cost to Federal Government:

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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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: 02/24/2011

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