World Wise Schools - Speakers Match: Request for a Speaker (Online)

Forms and Documents

Document Name	Status
Form PC-DP.969.4 World Wise Schools - Speakers Match: Request for a Speaker Form and Instruction	Modified
0420-0539 Speakers Match Supporting Statement Final.docx Supporting Statement A	2014-04-14
22 USC 2501.pdf Supplementary Document	2010-12-29

IC Document Collections

IC ID	Document Title	Status
181371	World Wise Schools - Speakers Match: Request for a Speaker Form and Instruction	Modified

ICR Details

OMB Control No: 0420-0539	ICR Reference No: 201403-0420-001
Status: Historical Active	Previous ICR Reference No: 201009-0420-001
Agency/Subagency: PEACE	Agency Tracking No:
Title: World Wise Schools - Speakers Match: Request for a Speaker (Online)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/18/2014
	Date Received in OIRA: 04/15/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	36 Months From Approved	06/30/2014
Responses	300	0	300
Time Burden (Hours)	50	0	50
Cost Burden (Dollars)	0	0	0

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Abstract: The Speakers Match program connects an educator and his or her students in the United States with a Returned Peace Corps Volunteer who presents his or her overseas experience to the teacher's students. The interaction between the returned Volunteer, the teacher, and his or her students is used to foster classroom activities and learning experiences relating to the Volunteer's country of service and the Peace Corps. In order to match a teacher with a returned Volunteer, World Wise Schools requests basic information, such as address, email address, grade level, number of students, and type of speaking event, on the Speakers Match Online Request Form. This form is available on the Peace Corps Coverdell World Wise Schools website under the Speakers Match section.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 5470	01/31/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 20925	04/14/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
World Wise Schools - Speakers Match: Request for a Speaker	PC-DP.969.4	Speakers Match: Request for a Speaker

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ICR Summary of Burden

	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	300	300	0	0	0	0
Annual Time Burden (Hours)	50	50	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $8,900

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/15/2014

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