Correspondence Match Educator Enrollment Form and Teacher Survey

ICR 200705-0420-006

OMB: 0420-0513

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2007-08-07
Supporting Statement A
2007-12-03
IC Document Collections
ICR Details
0420-0513 200705-0420-006
Historical Active 200701-0420-005
PEACE
Correspondence Match Educator Enrollment Form and Teacher Survey
Revision of a currently approved collection   No
Regular
Approved with change 12/04/2007
Retrieve Notice of Action (NOA) 08/15/2007
The Agency has been notified they must update Form PC-2042 per OMB's Guidance dated October 30, 1997 for the classification of Federal data on race and ethnicity.
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved 12/31/2007
13,000 0 10,000
2,417 0 5,325
0 0 0

Information Collection Abstract TITLE: Correspondence Match Educator Enrollment Form and Teacher Survey NEED FOR AND USE OF THIS INFORMATION: The Peace Corps and Paul D. Coverdell World Wise Schools need this information officially to enroll educators in the Correspondence Match program and to provide relevant services to its constituency. The information is used to make a suitable matches between the educators and currently serving Peace Corps Volunteers as well assess programmatic functions. RESPONDENTS: Educators interested in promoting global education in the classroom for the Correspondence Match Educator Enrollment Form. Correspondence Match educators for the Teacher Survey. RESPONDENTS’ OBLIGATION TO REPLY: Both collections are voluntary. BURDEN ON THE PUBLIC: EDUCATOR FORM TEACHER SURVEY a. Annual reporting burden: 1667 hours 333 hours b. Annual record keeping burden: 250 hours 50 hours c. Estimated average burden per response: 10 minutes 15 minutes d. Frequency of response: Annually Once e. Estimated number of likely respondents: 10,000 1,000 f. Estimated cost to respondents: $0.00/$8,900 $0.00

PL: Pub.L. 87 - 293 2501 Name of Law: Congressional declaration of purpose
  
None

Not associated with rulemaking

  72 FR 106 06/04/2007
72 FR 135 07/16/2007
No

1
IC Title Form No. Form Name
Correspondence Match Educator Enrollment Form and Teacher Survey PC-2042 Correspondence Match 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 13,000 10,000 0 3,000 0 0
Annual Time Burden (Hours) 2,417 5,325 0 750 -3,658 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The number of responses has increased due to the addition of a new teacher survey in this request. The annual time burden for the Educator Enrollment Form was erroneously over estimated per the last ICR submission so the decrease is noticeable.

$9,450
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Caroline Allen 202-692-1096 [email protected]

  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.
08/15/2007


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