Pecace Corps Volunteer Application

Volunteer Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0005 can be found here:

Documents and Forms

Document Name Document Type
Form PC-1502 Pecace Corps Volunteer Application Form and Instruction
OMBNumberScreenShot_2014.5.9.jpg Other-Screenshot of OMB Number
PC-1502 Peace Corps Volunteer Application Peace Corps Volunteer Application_05-12-2014.docx Form and Instruction
Systems_of_Records_(revised_7-2-13)[1].docx System of Records (PC-17) IC Document
PCV_Application_PIA.pdf Peace Corps Volunteer Application- PIA IC Document

Information Collection (IC) Details

IC Title:	Pecace Corps Volunteer Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 22 CFR 305

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PC-1502	Peace Corps Volunteer Application	Peace Corps Volunteer Application_05-12-2014.docx		Yes	Yes	Fillable Fileable Signable
Other-Screenshot of OMB Number			OMBNumberScreenShot_2014.5.9.jpg		Yes	Yes	Fillable Fileable Signable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title: Volunteer Applicant and Service Records System (PC-17)	FR Citation: 70 FR 1

Number of Respondents: 20,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20,000	6,000	14,000
Annual IC Time Burden (Hours)	20,000	-64,000	84,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
System of Records (PC-17)	Systems_of_Records_(revised_7-2-13)[1].docx	04/28/2014
Peace Corps Volunteer Application- PIA	PCV_Application_PIA.pdf	04/28/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.