Correspondence Match Educator Enrollment Form

Forms and Documents

Document Name	Status
Form PC-2042 Correspondence Match Educator Enrollment Form and Teacher Survey Form and Instruction	Modified
SCHEDULED.pdf Supplementary Document	2010-12-29
60-Day Notice (0420-0513).pdf Supplementary Document	2010-12-29
22 USC 2501.pdf Supplementary Document	2010-12-29
Supporting Statement (OMB 0420-0540 and 0420-0513).pdf Supporting Statement A	2010-12-29

IC Document Collections

IC ID	Document Title	Status
920	Correspondence Match Educator Enrollment Form and Teacher Survey Form and Instruction	Modified

ICR Details

OMB Control No: 0420-0513	ICR Reference No: 201005-0420-002
Status: Historical Active	Previous ICR Reference No: 200705-0420-006
Agency/Subagency: PEACE	Agency Tracking No:
Title: Correspondence Match Educator Enrollment Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/25/2011
	Date Received in OIRA: 12/29/2010
Terms of Clearance: Peace Corps is being given one year approval as this form is being replaced by the online version.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2012	36 Months From Approved	05/31/2011
Responses	10,000	0	13,000
Time Burden (Hours)	1,667	0	2,417
Cost Burden (Dollars)	0	0	0

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Abstract: TITLE: Correspondence Match Enrollment Form and Teacher Survey TYPE OF REVIEW: Extension, without change, of a currently approved collection. RESPONDENTS: Educators interested in promoting global education in the classroom. RESPONDENTS OBLIGATION TO REPLY: Voluntary. BURDEN TO THE PUBLIC: Educator Form Teacher Survey a. Annual reporting burden: 1667 hours 333 hours b. Estimated average burden response: 10 minutes 15 minutes c. Frequency of response: Annually Once d. Estimated number of likely respondents: 10,000 1,000 General description of collection: 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.

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Authorizing Statute(s): US Code: 22 USC 2501 Name of Law: Peace Corps Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 41556	07/16/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 32913	12/29/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Correspondence Match Educator Enrollment Form and Teacher Survey	PC-2042	Correspondence Match Enrollment Form

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ICR Summary of Burden

	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	10,000	13,000	0	-3,000	0	0
Annual Time Burden (Hours)	1,667	2,417	0	-750	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: 0420-0513 combined two forms: a paper version of Correspondence Match Educator Enrollment Form and a Teacher Survey. The Correspondence Match Educator Enrollment Form on-line form is used often than the paper version (reducing the need and use of the paper verison). The paper version is currently being phase out and will no longer be by Coverdell World Wise Schools once the current paper supply is exhausted. Additionally, the Peace Corps and Coverdell World Wise Schools will seek separate OMB PrA approval for the Teacher Survey.

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Annual Cost to Federal Government: $29,720

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/29/2010

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