Volunteer Application

ICR 201109-0420-002

OMB: 0420-0005

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2011-10-06
Supplementary Document
2011-10-05
Supporting Statement A
2011-10-05
IC Document Collections
IC ID
Document
Title
Status
905 Modified
ICR Details
0420-0005 201109-0420-002
Historical Active 200702-0420-005
PEACE
Volunteer Application
Revision of a currently approved collection   No
Regular
Approved with change 02/23/2012
Retrieve Notice of Action (NOA) 10/06/2011
  Inventory as of this Action Requested Previously Approved
02/28/2015 36 Months From Approved 11/30/2012
14,000 0 40,000
84,000 0 320,000
0 0 0

Applicants for Peace Corps volunteer assignment must complete an application form. This form will allow agency staff to ascertain the applicant's eligibility, and to place applicants in assignments matching their skills & geographical preferences.

US Code: 22 USC 2504(a) Name of Law: Peace Corps Act
  
None

Not associated with rulemaking

  76 FR 40755 07/11/2011
76 FR 62095 10/06/2011
Yes

1
IC Title Form No. Form Name
Pecace Corps Volunteer Application 0420-0005 Volunteer Application

  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 14,000 40,000 0 0 -26,000 0
Annual Time Burden (Hours) 84,000 320,000 0 0 -236,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The number of applications used to calculate burden reflects the number of applications that have typically been completed. The reporting burden on applicants has been reduced from 8 hours per response to 6 hours per response because individual applicants will now be able to skip sections that are not applicable to them.

$756,626
No
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.
10/06/2011


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