WITHDRAWAL INFORMATION CARD PC 1760 (FORM NO.)

ICR 198603-0420-001

OMB: 0420-0506

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
98915 Migrated
ICR Details
0420-0506 198603-0420-001
Historical Active
PEACE
WITHDRAWAL INFORMATION CARD PC 1760 (FORM NO.)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/03/1986
Retrieve Notice of Action (NOA) 03/04/1986
  Inventory as of this Action Requested Previously Approved
02/28/1989 02/28/1989
176 0 0
74 0 0
0 0 0

WITHDRAWAL INFORMATION CARD WILL BE SENT TO PEACE CORPS APPLICANTS WHOSE APPLICATIONS HAVE REACHED THE POINT OF PROCESSING IN WASHINGTON BUT WHO HAVE WITHDRAWN PRIOR TO INVITATION TO A PROGRAM. THE AGENCY WILL USE THIS CARD TO ASSESS PROBLEMS WITH THE VOLUNTEER DELIVERY SYSTEM AND TO MAKE APPROPRIATE ADJUSTMENTS AS INDICATED BY THE SURVEY.

None
None


No

1
IC Title Form No. Form Name
WITHDRAWAL INFORMATION CARD PC 1760 (FORM NO.) PC 1760

  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 176 0 0 176 0 0
Annual Time Burden (Hours) 74 0 0 74 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
03/04/1986


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