Information Collection

Peace Corps Fellows/USA Program Improvement Survey

IC 943 under ICR 201104-0420-002 · OMB 0420-0537.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PC-425-1 Peace Corps Fellows/USA Program Improvement Survey	Form
PC-425-1 Fellows/USA Program Improvement Survey Online_Survey_Mock-Up[1].pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	PC-425-1	Fellows/USA Program Improvement Survey	Online_Survey_Mock-Up[1].pdf		Yes	Yes	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	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.