Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3045-0014	ICR Reference No: 202301-3045-002
Status: Active	Previous ICR Reference No: 201909-3045-003
Agency/Subagency: CNCS	Agency Tracking No: N/A
Title: Voucher and Payment Request Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/06/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/27/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved	03/31/2023
Responses	34,385	0	162,000
Time Burden (Hours)	2,865	0	13,500
Cost Burden (Dollars)	120,004	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	34,385	162,000	-127,615
Annual Time Burden (Hours)	2,865	13,500	-10,635
Annual Cost Burden (Dollars)	120,004	0	120,004

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: AmeriCorps has adjusted its estimate of the number of respondents down from 162,200 to 34,385 to better reflect the actual number of voucher payment requests it has been receiving over the past few years since this information collection was last submitted. The estimated annual time burden has decreased accordingly. The estimated cost burden shows as an increase because AmeriCorps now estimates cost burden of the respondents hours, but did not at the time of the last submission.

Annual Cost to Federal Government: $34,335

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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? No

Agency Contact: Amy Borgstrom 202 606-6930 aborgstrom@cns.gov