Peace Corps National Agency Check (NAC) Questionnaire Form for Peace Corps Volunteer Background Investigations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0001 can be found here:

Documents and Forms

Document Name Document Type
Form 0005 Peace Corps National Agency Check (NAC) Questionnaire Form for Peace Corps Volunteer Background Investigations Form and Instruction
0005 National Agency Check Questionnaire for Peace Corps Volu NAC Questionnaire for Background Investigation.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Peace Corps National Agency Check (NAC) Questionnaire Form for Peace Corps Volunteer Background Investigations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0005	National Agency Check Questionnaire for Peace Corps Volunteer Background Investigation	NAC Questionnaire for Background Investigation.pdf		No		Paper Only

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	13,500	1,500	12,000
Annual IC Time Burden (Hours)	3,375	-8,625	12,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.