Supporting Statement (OMB 0420-0541)

Supporting Statement (OMB 0420-0541).pdf

Worldwise Schools Conference Online Registration Form

OMB: 0420-0541

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Peace Corps— Office of Public Engagement
Paul D. Coverdell World Wise Schools
World Wise Schools Conference - Online Registration Form
OMB Approval Number: 0420-0541
Supporting Statement
Section A: Justification
1. The Peace Corps’ Office of Public Engagement promotes the contributions that returned

Peace Corps Volunteers make in the United States after their service. The Office of
Public Engagement comprises Paul D. Coverdell World Wise Schools, the Fellows/USA
graduate fellowship program, Returned Volunteer Services and the Partnership Unit. The
Office of Public Engagement’s activities and publications support section 2 of the Peace
Corps Act, which states that one of the agency’s missions is to “promote a better
understanding of other peoples on the part of the American people.” 22 USC § 2501.
Coverdell World Wise Schools was established in 1989 in order to bring the crosscultural experience of Peace Corps Volunteers into the classrooms of the United States.
Within the purview of Coverdell World Wise Schools, an annual conference is hosted to
promote Coverdell World Wise Schools as a leader in global education by showcasing
educational materials and services to a wide range of K–12 and university educators; and
by fostering working relationships with governmental and nongovernmental
organizations that support international and cross-cultural education programs. The
online registration form will be made available on the Coverdell World Wise Schools
website annually, for three months prior to the conference, to allow attendees to register.

2. The Coverdell World Wise Schools Conference Online Registration Form is used to

collect basic information about the attendees. Information to be collected includes name;
phone number; email address; affiliation with a school, university, or agency; and
questions or additional information attendees may have. Respondents include educators,
and employees of governmental and nongovernmental organizations interested in
promoting global education in the classroom. The information is used for purposes of
maintaining contact with others who want to register for the annual Global Issues in the
Classroom conference. The information will be collected from the Coverdell World
Wise Schools website annually, for three months prior to the conference.
3. The information will be collected from an online form that will be made available on the

conference section of the Coverdell World Wise Schools website. The electronic
submission of information is sent to the Coverdell World Wise Schools email inbox,
[email protected] and the information saved onto a spreadsheet.
4. The Peace Corps has reviewed this registration form in order to identify and avoid

duplications. While there are Coverdell World Wise Schools’ forms that collect some
overlapping information, such as name, school affiliation, and contact information, each
form is specific to one program or event offered to educators by Coverdell World Wise
Schools and each form is distinctive in the additional information requested of the
voluntary teacher participant. Furthermore, the participants of each of the Coverdell
World Wise Schools programs are unique, in that the teachers participating in one

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Peace Corps— Office of Public Engagement
Paul D. Coverdell World Wise Schools
World Wise Schools Conference - Online Registration Form
OMB Approval Number: 0420-0541
Supporting Statement
program are not the same as those participating in our other programs. No other existing
information can be used or modified to identify people attending the annual Coverdell
World Wise Schools Conference since a substantially different group of participants will
attend the conference each year. The information collected is unique in that it applies
only to the Global Issues in the Classroom conference and elicits data about conference
participants only.
5. The collection of information does not impact small businesses or other sma ll entities.
6. This information cannot be collected less frequently than annually because the

conference occurs once a year. Without the collected information, Coverdell World Wise
Schools will not be able to suitably prepare for the amount of people attending the
conference.
7. There are no special circumstances.
8. The 60 day Federal Register Notice was published on July 16, 2010 [ 75 FR 41556]. No

public comments were received.

9. Peace Corps will not provide any payments or gifts to respondents.

10. Assurance of privacy provided to respondents is on the Privacy Act Notice posted on the

bottom of the form, as well as the Privacy and freedom of information policies available
on every page of the website.
11. The registration form does not contain any questions of a sensitive nature, such as sexual

behavior and attitudes, religious beliefs, etc. The information on the registration form will
be used to provide program information to people interested in attending the conference
as well as for logistical purposes to prepare for the conference.
12. Number of Respondents:

Frequency of Response:
Completion Time:
Total Annual Hour Burden of Respondents:

300
1
x 10 minutes
50 hours

13. Cost estimate to the respondent: $0.00
14. Agency Cost estimates:

a) There is no start-up component associated with this submission as this is an OMB
approved online enrollment form currently in use and up for renewal.

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Peace Corps— Office of Public Engagement
Paul D. Coverdell World Wise Schools
World Wise Schools Conference - Online Registration Form
OMB Approval Number: 0420-0541
Supporting Statement
b) Estimated labor costs associated with processing and maintaining the collected
information
Program Analyst:
$32.00/hour x 60 labor hours (2% of time)/fiscal year = $1,920.00
Total Labor Costs to the Federal Government (2010): $1,920.00
15. N/A.
16. Coverdell World Wise Schools will not publish the registration information. Collection

of information does not employ statistical methods.
17. The agency plans to display the expiration date for Office of Management and Budget

approval of the information collection on all instruments.
18. The agency is able to certify compliance with all provis ions under Item 19 of OMB Form

83-I.
Section B: Collection of Information Employing Statistical Methods
The collection of information does not employ statistical methods.

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File Typeapplication/pdf
File TitlePeace Corps—Office of Domestic Programs
AuthorAmy Clark
File Modified2010-12-29
File Created2010-12-29

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