WITHDRAWAL INFORMATION CARD

ICR 199107-0420-001

OMB: 0420-0504

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
98913 Migrated
ICR Details
0420-0504 199107-0420-001
Historical Active 198703-0420-001
PEACE
WITHDRAWAL INFORMATION CARD
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/09/1991
Retrieve Notice of Action (NOA) 07/17/1991
OMB approval number and expiration date should appear on upper right-hand corner of form.
  Inventory as of this Action Requested Previously Approved
07/31/1994 07/31/1994
450 0 0
75 0 0
0 0 0

THE WITHDRAWAL INFORMATION CARD WILL BE SENT TO PEACE CORPS APPLICANTS WHOSE APPLICATIONS HAVE REACHED THE POINT OF PROCESSING IN WASHINGTON, BUT WHO CHOSE TO WITHDRAW. 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

  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 450 0 0 0 450 0
Annual Time Burden (Hours) 75 0 0 0 75 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.
07/17/1991


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