Peace Corps Conversion Loss Survey

ICR 201101-0420-001

OMB: 0420-0544

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2011-05-02
Supplementary Document
2011-01-15
Supplementary Document
2011-01-14
Supplementary Document
2011-01-14
Supporting Statement B
2011-04-28
Supporting Statement A
2011-04-28
IC Document Collections
IC ID
Document
Title
Status
195944 New
ICR Details
0420-0544 201101-0420-001
Historical Active
PEACE
Peace Corps Conversion Loss Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/11/2011
Retrieve Notice of Action (NOA) 01/15/2011
Yhis is approved given 18 month approval as it is a one-time collection by Peace Corps.
  Inventory as of this Action Requested Previously Approved
11/30/2012 36 Months From Approved
1,200 0 0
400 0 0
0 0 0

The purpose of this survey is to collect feedback from Peace Corps applicants and returned Peace Corps volunteers to help understand factors that are driving recruitment attrition, as well as, what information or education would increase the conversion radio. An online survey will be conducted among 1,200 Peace Corps applicants and returned Peace Corps volunteers.

None
None

Not associated with rulemaking

  75 FR 68630 11/03/2010
76 FR 2727 01/14/2011
No

1
IC Title Form No. Form Name
Peace Corps Conversion Survey

  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 1,200 0 0 1,200 0 0
Annual Time Burden (Hours) 400 0 0 400 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Modified annual time burden. Change reflects the average time it will take respondents to complete the survey.

$55,655
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Denora Miller 202 692-1236 [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.
01/14/2011


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