Correspondence Match Educator Enrollment Form and Teacher Survey

Forms and Documents

Document Name	Status
0420-0513 (New IC Abstract).doc Supporting Statement B	2007-08-07
0420-0513 Educator Match - Teacher Survey.doc Supporting Statement A	2007-12-03

IC Document Collections

IC ID	Document Title	Status
920	Correspondence Match Educator Enrollment Form and Teacher Survey Other-Survey	Modified

ICR Details

OMB Control No: 0420-0513	ICR Reference No: 200705-0420-006
Status: Historical Active	Previous ICR Reference No: 200701-0420-005
Agency/Subagency: PEACE	Agency Tracking No:
Title: Correspondence Match Educator Enrollment Form and Teacher Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/04/2007
	Date Received in OIRA: 08/15/2007
Terms of Clearance: The Agency has been notified they must update Form PC-2042 per OMB's Guidance dated October 30, 1997 for the classification of Federal data on race and ethnicity.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	36 Months From Approved	12/31/2007
Responses	13,000	0	10,000
Time Burden (Hours)	2,417	0	5,325
Cost Burden (Dollars)	0	0	0

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Abstract: Information Collection Abstract TITLE: Correspondence Match Educator Enrollment Form and Teacher Survey NEED FOR AND USE OF THIS INFORMATION: The Peace Corps and Paul D. Coverdell World Wise Schools need this information officially to enroll educators in the Correspondence Match program and to provide relevant services to its constituency. The information is used to make a suitable matches between the educators and currently serving Peace Corps Volunteers as well assess programmatic functions. RESPONDENTS: Educators interested in promoting global education in the classroom for the Correspondence Match Educator Enrollment Form. Correspondence Match educators for the Teacher Survey. RESPONDENTS’ OBLIGATION TO REPLY: Both collections are voluntary. BURDEN ON THE PUBLIC: EDUCATOR FORM TEACHER SURVEY a. Annual reporting burden: 1667 hours 333 hours b. Annual record keeping burden: 250 hours 50 hours c. Estimated average burden per response: 10 minutes 15 minutes d. Frequency of response: Annually Once e. Estimated number of likely respondents: 10,000 1,000 f. Estimated cost to respondents: $0.00/$8,900 $0.00

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Authorizing Statute(s): PL: Pub.L. 87 - 293 2501 Name of Law: Congressional declaration of purpose
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 106	06/04/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 135	07/16/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Correspondence Match Educator Enrollment Form and Teacher Survey	PC-2042	Correspondence Match Enrollment Form

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ICR Summary of Burden

	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	13,000	10,000	0	3,000	0	0
Annual Time Burden (Hours)	2,417	5,325	0	750	-3,658	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The number of responses has increased due to the addition of a new teacher survey in this request. The annual time burden for the Educator Enrollment Form was erroneously over estimated per the last ICR submission so the decrease is noticeable.

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Annual Cost to Federal Government: $9,450

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/15/2007

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