Information Collection

Peace Corps Response Volunteer Application Form

IC 940 under ICR 201006-0420-008 · OMB 0420-0533.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0420-0533 Peace Corps Response Volunteer Application Form	Form
0420-0533 PC Repsonse Application Apply Now to Peace Corps Response.pdf www.peacecorps.gov/index.cfm?shell=response.ccapplication&positionId=3854	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0420-0533	PC Repsonse Application	Apply Now to Peace Corps Response.pdf	http://www.peacecorps.gov/index.cfm?shell=response.ccapplication&positionId=3854	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,000	493	507
Annual IC Time Burden (Hours)	83	41	42
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.