60-Day Notice of Proposed Information Collection: Civilian Response Corps Database In-Processing Electronic Form, OMB Control Number 1405-0168, Form DS-4096
The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. The purpose of this notice is to allow 60 days for public comment in the Federal Register preceding submission to OMB. We are conducting this process in accordance with the Paperwork Reduction Act of 1995. Title of Information Collection: Civilian Response Corps Database In-Processing Electronic Form. OMB Control Number: 1405-0168. Type of Request: Extension of a Currently Approved Collection. Originating Office: Bureau of Conflict and Stabilization Operations (CSO). Form Numbers: DS-4096. Respondents: Individuals who are members of or apply for one or more of the three components of the Civilian Response Corps (Active, Standby and Expert Corps). Estimated Number of Respondents: 2000 per year. Estimated Number of Responses: 2000 per year. Average Hours per Response: 1 hour. Total Estimated Burden: 2000 Hours. Frequency: On occasion. Obligation to Respond: Required to receive benefits.