Volunteer Application

Forms and Documents

Document Name	Status
Form PC-1502 Pecace Corps Volunteer Application Form and Instruction	Modified
Systems_of_Records_(revised_7-2-13).docx Supplementary Document	2014-05-13
PCV_Application_PIA.pdf Supplementary Document	2014-05-13
PCV Application Supporting Statement 5.12.14.docx Supporting Statement A	2014-05-13
22 USC 2504.pdf Supplementary Document	2011-10-06

IC Document Collections

IC ID	Document Title	Status
905	Pecace Corps Volunteer Application Form and Instruction	Modified

ICR Details

OMB Control No: 0420-0005	ICR Reference No: 201404-0420-003
Status: Historical Active	Previous ICR Reference No: 201305-0420-001
Agency/Subagency: PEACE	Agency Tracking No:
Title: Volunteer Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/12/2014
	Date Received in OIRA: 05/13/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	36 Months From Approved	02/28/2015
Responses	20,000	0	14,000
Time Burden (Hours)	20,000	0	84,000
Cost Burden (Dollars)	0	0	0

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Abstract: Applicants for Peace Corps volunteer assignment must complete an application form. The information collected by the Volunteer Application is used by the Peace Corps to collect essential information from individuals, including technical and language skills, and availability for Peace Corps service. The Peace Corps is changing its application process to better match applicants to programs based on their skills and interests.

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Authorizing Statute(s): US Code: 22 USC 2504(a) Name of Law: Peace Corps Act
  

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:
	78 FR 75580	12/12/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 9288	02/18/2014
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
Pecace Corps Volunteer Application	PC-1502	Peace Corps Volunteer Application

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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	20,000	14,000	0	6,000	0	0
Annual Time Burden (Hours)	20,000	84,000	0	-64,000	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: There in an increase in the number of estimated applicants but a decrease in the amount of time it will take an applicant to complete the application process. The change in the application form has decreased the time for completion from 6 hours to 1 hour.

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Annual Cost to Federal Government: $1,574,500

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: 05/13/2014

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