PEACE CORPS VOLUNTEER APPLICATION

ICR 198206-0420-001

OMB: 0420-0005

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
98881 Migrated
ICR Details
0420-0005 198206-0420-001
Historical Active 198105-0420-001
PEACE
PEACE CORPS VOLUNTEER APPLICATION
Revision of a currently approved collection   No
Regular
Approved without change 07/22/1982
Retrieve Notice of Action (NOA) 06/01/1982
  Inventory as of this Action Requested Previously Approved
06/30/1983 06/30/1983 06/30/1983
15,600 0 15,600
15,600 0 15,600
0 0 0

REQUEST IS TO REVISE EXISTING PEACE CORPS VOLUNTEER APPLICATION FORM (EXPIRES 6/83) TO INCLUDE SOON TO EXPIRE (6/82) "REQUEST FOR RACIAL AN ETHNIC DATA" PAGE UNDER SAME FORM (0420-0005). REQUEST FOR RACIAL AND ETHNIC DATA IS REQUESTED SOLELY FOR PURPOSE OF DETERMINING COMPLIANCE WITH FEDERAL CIVIL RIGHTS LAW. RESPONSE BY APPLICANT IS VOLUNTARY AND DOES NOT AFFECT THEIR CONSIDERATION FOR SERVICE. APPLICATION FORM IS USED TO DETERMINE INDIVIDUAL APPLICANT'S ELIGIBILITY & SUITABILITY.

None
None


No

1
IC Title Form No. Form Name
PEACE CORPS VOLUNTEER APPLICATION PC-1502

  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 15,600 15,600 0 0 0 0
Annual Time Burden (Hours) 15,600 15,600 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
06/01/1982


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