Peace Corps Reference Form

ICR 200205-0420-002

OMB: 0420-0006

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
909 Migrated
ICR Details
0420-0006 200205-0420-002
Historical Active 199904-0420-002
PEACE
Peace Corps Reference Form
Revision of a currently approved collection   No
Regular
Approved without change 07/29/2002
Retrieve Notice of Action (NOA) 05/24/2002
  Inventory as of this Action Requested Previously Approved
07/31/2005 07/31/2005 07/31/2002
1 0 1
13,692 0 13,692
151,000 0 0

Data collected by the Peace Corps Reference Form is required to assess and place candidates in Peace Corps Volunteer assignments. Peace Corps has no other means of obtaining the qualifying data.

None
None


No

1
IC Title Form No. Form Name
Peace Corps Reference Form PC-1532

  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 1 1 0 0 0 0
Annual Time Burden (Hours) 13,692 13,692 0 0 0 0
Annual Cost Burden (Dollars) 151,000 0 0 151,000 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/24/2002


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