Correspondence Match Educator Online Enrollment Form: Educator Sign-up Form

Forms and Documents

Document Name	Status
Form PC-DP-969.5 Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form Form	Unchanged
Supporting Statement (OMB 0420-0540 and 0420-0513).pdf Supporting Statement A	2010-12-29
60 Day Notice (0539 0540 0541).pdf Supplementary Document	2010-12-29
22 USC 2501.pdf Supplementary Document	2010-12-29
SCHEDULED Document Number - 2010-32913 Publication Date 12-30-2010.txt Supplementary Document	2010-12-29

IC Document Collections

IC ID	Document Title	Status
181387	Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form Form	Unchanged

ICR Details

OMB Control No: 0420-0540	ICR Reference No: 201012-0420-001
Status: Historical Active	Previous ICR Reference No: 200708-0420-001
Agency/Subagency: PEACE	Agency Tracking No:
Title: Correspondence Match Educator Online Enrollment Form: Educator Sign-up Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/04/2011
	Date Received in OIRA: 12/29/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved	03/31/2011
Responses	10,000	0	10,000
Time Burden (Hours)	1,667	0	1,667
Cost Burden (Dollars)	0	0	0

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Abstract: Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form. OMB Control Number: 0420-0540 Respondents: Educators interested in promoting global education in the classroom. Estimated annual number of responses: 10,000 Estimated average time to respond: 10 minutes Frequency of response: Annually Estimated annual burden hours: 1667 hours Purpose of collection: The information collected is used to make suitable matches between the educators and currently serving Peace Corps Volunteers.

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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 Online Enrollment Form: Educator Sign Up Form	PC-DP-969.5	Correspondence Match Educator Online Enrollment Form: Educator Sign Up 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	10,000	0	0	0	0
Annual Time Burden (Hours)	1,667	1,667	0	0	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: No

Burden Reduction Due to:

Short Statement:

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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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