Peace Corps Response Application

ICR 201709-0420-004

OMB: 0420-0547

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2011-08-09
Supplementary Document
2011-08-09
Supporting Statement A
2017-09-25
IC Document Collections
IC ID
Document
Title
Status
200348 Modified
ICR Details
0420-0547 201709-0420-004
Historical Active 201404-0420-001
PEACE PC-2119
Peace Corps Response Application
Revision of a currently approved collection   No
Regular
Approved without change 10/25/2017
Retrieve Notice of Action (NOA) 09/26/2017
  Inventory as of this Action Requested Previously Approved
10/31/2020 36 Months From Approved 12/31/2017
3,500 0 1,700
3,500 0 1,700
0 0 0

The Peace Corps Response Application (hereinafter "the Application") is necessary to recruit qualified volunteers to serve in Peace Corps Response, which sends Volunteers throughout the world to work in specialized short term projects. Applicants are selected based on their qualifications for a specific Volunteer assignment. The Peace Corps Act (22 U.S.C. § 2501 et seq.) authorizes the recruitment of persons for service in Peace Corps Volunteer programs. See 22 U.S.C. § 2504. Eligibility requirements for Peace Corps Volunteer service are set at 22 C.F.R. 305. Attached are 22 U.S.C. § 2504 and 22 C.F.R. 305. .

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

Not associated with rulemaking

  82 FR 32209 07/12/2017
82 FR 43576 09/18/2017
No

1
IC Title Form No. Form Name
Peace Corps Response Application PC-2119 Peace Corps Response Application

  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 3,500 1,700 0 1,800 0 0
Annual Time Burden (Hours) 3,500 1,700 0 1,800 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The ICR increased because of program change due to Agency discretion.

$99,840
No
    Yes
    Yes
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.
09/26/2017


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