Peace Corps Reference Forms

ICR 201410-0420-003

OMB: 0420-0548

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2014-10-27
Supplementary Document
2011-08-09
IC Document Collections
IC ID
Document
Title
Status
198820 Modified
ICR Details
0420-0548 201410-0420-003
Historical Active 201108-0420-003
PEACE
Peace Corps Reference Forms
Revision of a currently approved collection   No
Regular
Approved without change 12/24/2014
Retrieve Notice of Action (NOA) 10/27/2014
  Inventory as of this Action Requested Previously Approved
12/31/2017 36 Months From Approved 12/31/2014
1,575 0 700
263 0 117
0 0 0

The information collected on the Reference Forms for Peace Corps Response Candidates as an integral part of the screening and selection process and is used to determine whether an applicant would be a good candidate as a Peace Corps Response volunteer. The information obtained from these forms is used by the recruitment and placement specialists within the Office of Peace Corps Response.

US Code: 22 USC 2501 Name of Law: Peace Corps Act
  
None

Not associated with rulemaking

  79 FR 49115 08/19/2014
79 FR 63962 10/27/2014
No

1
IC Title Form No. Form Name
Peace Corps Response Reference Forms PC-2137, PC-2138, PC-2136 Professional Reference Form ,   Personal Reference Form ,   Peace Corps Staff Reference 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 1,575 700 0 875 0 0
Annual Time Burden (Hours) 263 117 0 146 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The estimated number of applicants interviewed increased from the 2011 submission from 350 to 700. This increase can be attributed to an increase in the number of applicants without previous Peace Corps experience. This also reflects in an increase in reference requests. Returned Peace Corps Volunteers (RPCVs) must submit two references; one staff and one professional reference. These applicants comprise of approximately 75% of the total applicants interviewed. Applicants who have not previously served with the Peace Corps must submit three references; one personal and two professional references. These applicants comprise of approximately 25% of the total applicants interviewed. Therefore, the number of references required per interviewed applicants is calculated at 2.25.

$2,436
No
No
No
No
No
Uncollected
Denora Miller 202 692-1236 dmiller4@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.
10/27/2014


© 2024 OMB.report | Privacy Policy