Correspondence Match Educator Online Enrollment Form: Educator Sign-up Form

ICR 201607-0420-004

OMB: 0420-0540

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Justification for No Material/Nonsubstantive Change
2016-07-19
Supporting Statement B
2016-07-19
Supplementary Document
2010-12-29
IC Document Collections
ICR Details
0420-0540 201607-0420-004
Historical Active 201403-0420-002
PEACE
Correspondence Match Educator Online Enrollment Form: Educator Sign-up Form
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/20/2016
Retrieve Notice of Action (NOA) 07/19/2016
  Inventory as of this Action Requested Previously Approved
06/30/2017 06/30/2017 06/30/2017
3,000 0 3,000
500 0 500
0 0 0

The Office of Third Goal and Returned Volunteer Services's Correspondence Match program connects an educator with a Peace Corps Volunteer serving overseas. The correspondence between the Volunteer, the educator, and his or her students is used to foster classroom activities and learning experiences relating to the Volunteer's country of service and the Peace Corps. In order to participate in the program and be matched with a Volunteer, the educator must complete the Correspondence Match Educator Enrollment Form. The Correspondence Match Educator Enrollment Form is the first point of contact with the participating educator. It is the fundamental source of information from educators interested in participating in the Correspondence Match program. The information is used to make a suitable match between the educator and a Peace Corps Volunteer serving overseas.

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

Not associated with rulemaking

  79 FR 5471 01/31/2014
79 FR 20925 04/14/2014
No

1
IC Title Form No. Form Name
Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form PC-DP.969.5 Correspondence Match Educator Enrollment 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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 500 500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There is an increase in the Total Cost to Federal Government due to a miscalculation in the 2010 estimate. Also the number of responses went down from 10, 00 to 3, 000 because fewer teacherd are currently signing up for the program.

$42,970
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.
07/19/2016


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