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Peace Corps National Agency Check (NAC) Questionnaire Form for Peace Corps Volunteer Background Investigations
Peace Corps National Agency Check (NAC) Questionnaire Form for Peace Corps Volunteer Background Investigations
OMB: 0420-0001
IC ID: 900
OMB.report
PEACE
OMB 0420-0001
ICR 201108-0420-005
IC 900
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0001 can be found here:
2017-09-12 - Reinstatement with change of a previously approved collection
2015-09-24 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form PC Form 0005
Peace Corps National Agency Check (NAC) Questionnaire Form for Peace Corps Volunteer Background Investigations
Form and Instruction
PC Form 0005 Peace Corps National Agency Check (NAC) Questionnaire fo
NAC Questionnaire Form (030912).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
PC Form 0005
Peace Corps National Agency Check (NAC) Questionnaire for Peace Corps
NAC Questionnaire Form (030912).pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
13,500
0
0
0
0
13,500
Annual IC Time Burden (Hours)
3,375
0
0
0
0
3,375
Annual IC Cost Burden (Dollars)
0
0
0
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.