Peace Corps Crisis Corps Volunteer Application Form

ICR 200708-0420-003

OMB: 0420-0533

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2007-11-29
IC Document Collections
IC ID
Document
Title
Status
940 Modified
ICR Details
0420-0533 200708-0420-003
Historical Active 200307-0420-001
PEACE
Peace Corps Crisis Corps Volunteer Application Form
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 11/30/2007
Retrieve Notice of Action (NOA) 08/16/2007
  Inventory as of this Action Requested Previously Approved
11/30/2010 36 Months From Approved
507 0 0
42 0 0
0 0 0

Application form is submitted by returned or currently serving Peace Corps Volunteers interested in serving as a Crisis Corps Volunteer. Crisis Corps staff use the information to determine suitability of applicants.

None
None

Not associated with rulemaking

  72 FR 14 01/23/2007
72 FR 106 06/04/2007
No

1
IC Title Form No. Form Name
Peace Corps Crisis Corps Volunteer Application Form 0490-0533 Peace Corps Crisis Corps Volunteer Application Form

  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 507 0 0 0 -143 650
Annual Time Burden (Hours) 42 0 0 0 -12 54
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Crisis Corps Applicants are utilized on an "AS NEEDED" Emergency situation. We do not forsee an increase in volunteers at this time.

$42,082
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Caroline Allen 202-692-1096 callen@peacecorps.gov

  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.
08/16/2007


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