Peace Corps Response Reference Forms

Peace Corps Reference Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0548 can be found here:

Documents and Forms

Document Name Document Type
Form PCR Professional R Peace Corps Response Reference Forms Form and Instruction
PCR Professional R 2105-A PCR - Professional Reference Form.docx Form and Instruction
PC 2105-B PCR Personal Reference Form PCR - Personal Reference Form.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Peace Corps Response Reference Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	PCR Professional Reference Form	2105-A	PCR - Professional Reference Form.docx		Yes	Yes	Fillable Fileable
Form and Instruction	PC 2105-B	PCR Personal Reference Form	PCR - Personal Reference Form.docx		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	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.