[Federal Register Volume 81, Number 96 (Wednesday, May 18, 2016)]
[Notices]
[Pages 31227-31228]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-11734]


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CORPORATION FOR NATIONAL AND COMMUNITY SERVICE


Proposed Information Collection; Comment Request

AGENCY: Corporation for National and Community Service.

[[Page 31228]]


ACTION: Notice.

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SUMMARY: The Corporation for National and Community Service (CNCS), as 
part of its continuing effort to reduce paperwork and respondent 
burden, conducts a pre-clearance consultation program to provide the 
general public and federal agencies with an opportunity to comment on 
proposed and/or continuing collections of information in accordance 
with the Paperwork Reduction Act of 1995 (PRA95) (44 U.S.C. Sec. 
3506(c)(2)(A)). This program helps to ensure that requested data can be 
provided in the desired format, reporting burden (time and financial 
resources) is minimized, collection instruments are clearly understood, 
and the impact of collection requirement on respondents can be properly 
assessed.
    Currently, CNCS is soliciting comments concerning its proposed use 
of the AmeriCorps NCCC Medical/Mental Health Information Form. An 
individual must have the physical and mental capacity required to 
perform the essential functions of the AmeriCorps NCCC member position, 
with or without reasonable accommodation, for which he or she is 
otherwise eligible.
    Copies of the information collection request can be obtained by 
contacting the office listed in the Addresses section of this Notice.

DATES: Written comments must be submitted to the individual and office 
listed in the ADDRESSES section by July 18, 2016.

ADDRESSES: You may submit comments, identified by the title of the 
information collection activity, by any of the following methods:
    (1) By mail sent to: Corporation for National and Community 
Service, AmeriCorps NCCC; Attention Tara Lind-Zajac, Lead Medical 
Nurse, 3237-Q; 250 E Street SW., Washington, DC 20525.
    (2) By hand delivery or by courier to the CNCS mailroom at the mail 
address given in paragraph (1) above, between 9:00 a.m. and 4:00 p.m. 
Eastern Time, Monday through Friday, except Federal holidays.
    (3) Electronically through www.regulations.gov.
    Individuals who use a telecommunications device for the deaf (TTY-
TDD) may call 1-800-833-3722 between 8:00 a.m. and 8:00 p.m. Eastern 
Time, Monday through Friday.

FOR FURTHER INFORMATION CONTACT: Tara Lind-Zajac, 202-360-8082, or by 
email at [email protected].

SUPPLEMENTARY INFORMATION:
    CNCS is particularly interested in comments that:
     Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of CNCS, 
including whether the information will have practical utility;
     Evaluate the accuracy of the agency's estimate of the 
burden of the proposed collection of information, including the 
validity of the methodology and assumptions used;
     Enhance the quality, utility, and clarity of the 
information to be collected; and
     Minimize the burden of the collection of information on 
those who are expected to respond, including the use of appropriate 
automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology (e.g., permitting 
electronic submissions of responses).

Background

    An individual must have the physical and mental capacity required 
to perform the essential functions of the AmeriCorps lNCCC member 
position, with or without reasonable accommodation, for which he or she 
is otherwise eligible. Individuals applying to the AmeriCorps NCCC 
program provide the information collected on this form in order to be 
cleared to participate in the program.

Current Action

    This is a new information collection request. The Medical/Mental 
Health Information Form is completed at the time individuals complete 
the AmeriCorps NCCC program application. This allows individuals to 
submit a ``complete'' application to AmeriCorps NCCC, allowing a 
shortened and simplified application/review/clearance process. The 
Medical/Mental Health Information Form is not reviewed until after an 
applicant receives a conditional invitation to participate in the 
AmeriCorps NCCC program. Forms are submitted via pre-addressed, 
tracked, UPS envelopes included with the mailings in which applicants 
receive the blank forms.
    Type of Review: New.
    Agency: Corporation for National and Community Service.
    Title: AmeriCorps NCCC Medical/Mental Health Information Form.
    OMB Number: None.
    Agency Number: None.
    Affected Public: Applicants to AmeriCorps NCCC.
    Total Respondents: Approximately 2500/year.
    Frequency: Once per completed NCCC application.
    Average Time per Response: Averages 15 minutes.
    Estimated Total Burden Hours: Approximately 625 hours.
    Total Burden Cost (capital/startup): None.
    Total Burden Cost (operating/maintenance): None.
    Comments submitted in response to this notice will be summarized 
and/or included in the request for Office of Management and Budget 
approval of the information collection request; they will also become a 
matter of public record.

    Dated: May 11, 2016.
Charles L. Davenport, Jr.,
Director of Recruitment, Selection and Placement, NCCC.
[FR Doc. 2016-11734 Filed 5-17-16; 8:45 am]
 BILLING CODE 6050-28-P