Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Childcare Application Forms Modified 2100 1050 23499 Form and Instruction 1 Provider Application
Form and Instruction 2 Member Application
Form and Instruction 3 Childcare Attendance Sheet
Form and Instruction 4 Statement of Work Activity
Form and Instruction 5 Member Update Form
Form and Instruction 6 Childcare Payment Authorization
Form and Instruction 7 AmeriCorps Unlicensed Provider Affidavit
Form and Instruction 8 Program Certification of Active Service
Total burden requested under this ICR: 2100 1050 23499  
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