Martin Luther King, Jr. Day of Service Grant Application Instructions

Forms and Documents

Document Name	Status
Form 1 Martlin Luther King, Jr. Day of Service Application Instructions Form and Instruction	New
Form 1 Martin Luther King Jr. Day of Service Application Instructions Form and Instruction	Removed
MLK Day app instructions Justification for OIRA.doc Supporting Statement A	2014-06-13

IC Document Collections

IC ID	Document Title	Status
211904	Martlin Luther King, Jr. Day of Service Application Instructions Form and Instruction	New
198621	Martin Luther King Jr. Day of Service Application Instructions Form and Instruction	Removed

ICR Details

OMB Control No: 3045-0110	ICR Reference No: 201406-3045-003
Status: Historical Active	Previous ICR Reference No: 201107-3045-005
Agency/Subagency: CNCS	Agency Tracking No: N/A
Title: Martin Luther King, Jr. Day of Service Grant Application Instructions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/21/2014
	Date Received in OIRA: 06/13/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	36 Months From Approved	10/31/2014
Responses	80	0	50
Time Burden (Hours)	880	0	500
Cost Burden (Dollars)	0	0	0

---

Abstract: This data collection effort will provide information required by the Corporation for National and Community Service to enable it to make effective grant making decisions concerning the use of public funds for Martin Luther King, Jr. Day of Service Grants.

---

Authorizing Statute(s): US Code: 42 USC 12653 Name of Law: National and Community Service Act of 1990
   PL: Pub.L. 106 - 107 198 Name of Law: National Community Service Act of 1990
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 70539	11/26/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 33528	06/11/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Martlin Luther King, Jr. Day of Service Application Instructions	1	MLK Jr Day of Service Application Instructions
Martin Luther King Jr. Day of Service Application Instructions	1	MLK Day of Service Application Instructions

---

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	80	50	0	30	0	0
Annual Time Burden (Hours)	880	500	0	380	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden has increased based on actual application levels.

---

Annual Cost to Federal Government: $0

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

---

Common Form ICR:  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:

(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: 06/13/2014

---