Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Document Name	Status
Form PC-2167 Peace Corps Website Customer Service Satisfaction Survey Form	New
Form PC2162 Generic Clearance for Peace Corps Website Customer Service Satisfaction Survey (iPerceptions website intercept survey) Form	New
Form PC-2156 Volunteer Recruitment and Selection Survey of Master's International University Coordinators Form	New
Form PC-2145 VRS Applicant Feedback Surveys Form and Instruction	New
Form PC-2142 Office of Medical Services Medical Clearance Process Customer Satisfaction Survey Form	Unchanged
Form Omnibus Survey 1 Omnibus Survey Form	Unchanged
Form PC-2042- C World Wide Schools Teacher Surveys Form and Instruction	Unchanged
Justification_for_changes_toFast Track_Form- Final.docx Justification for No Material/Nonsubstantive Change	2014-12-29
Peace Corps Generic Clearance Fast Track- Supporting Statement A- Final2014.12.30.docx Supporting Statement A	2015-01-02
Generic Clearance Submission Template.docx Supplementary Document	2014-07-29
Peace Corps Generic Clearance Fast Track- Supporting Statement B.docx Supporting Statement B	2014-07-29

IC Document Collections

IC ID	Document Title	Status
221304	Peace Corps Website Customer Service Satisfaction Survey Form	New
220720	Generic Clearance for Peace Corps Website Customer Service Satisfaction Survey (iPerceptions website intercept survey) Form	New
220157	Recruitment Event Attendee Survey Other-Survey	New
219164	Volunteer Recruitment and Selection Survey of Master's International University Coordinators Form	New
216026	Millennial Online Survey Other-Initial Communication	New
215834	VRS Applicant Feedback Surveys Form and Instruction	New
213943	Office of Medical Services Medical Clearance Process Customer Satisfaction Survey Form	Unchanged
213699	Focus Groups with Parents of Millennials Other-Guide	Unchanged
213497	Online Bulletin Boards with Millenials Other-Sceener for Online Bulletin Board	Unchanged
212522	Omnibus Survey Form	Unchanged
212521	World Wide Schools Teacher Surveys Form and Instruction	Unchanged

ICR Details

OMB Control No: 0420-0545	ICR Reference No: 201412-0420-001
Status: Historical Active	Previous ICR Reference No: 201407-0420-005
Agency/Subagency: PEACE	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/19/2015
	Date Received in OIRA: 12/29/2014
Terms of Clearance: Previous Terms of Clearance Still Apply.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	09/30/2017	09/30/2017
Responses	85,917	0	31,725
Time Burden (Hours)	28,197	0	19,164
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Customer Service Standards
  

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 20926	04/14/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 35580	06/23/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

IC Title	Form No.	Form Name
Volunteer Recruitment and Selection Survey of Master's International University Coordinators	PC-2156	Survey of Master's International University Coordinators
Recruitment Event Attendee Survey
Omnibus Survey	Omnibus Survey 1	Omnibus Survey Questions
Millennial Online Survey	Millennial Online Survey 1	Millennial Online Survey
VRS Applicant Feedback Surveys	PC-2145, PC-2146, PC-2147	Application Complete Survey ,   Invitee Feedback Prior to Departure ,   Applicant Withdraw Survey
Generic Clearance for Peace Corps Website Customer Service Satisfaction Survey (iPerceptions website intercept survey)	PC2162	Website Customer Service Satisfaction Survey
Office of Medical Services Medical Clearance Process Customer Satisfaction Survey	PC-2142	OHS Medical Clearance Process Customer Survey
Peace Corps Website Customer Service Satisfaction Survey	PC-2167	Website Customer Service Satisfactory Survey
Focus Groups with Parents of Millennials
Online Bulletin Boards with Millenials
World Wide Schools Teacher Surveys	PC-2042-A, PC-2042-B, PC-2042- C	Survey Questions for Speakers Match ,   Survey Questions for Correspondence Match ,   Survey Questions for eNewsletters

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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	85,917	31,725	0	54,192	0	0
Annual Time Burden (Hours)	28,197	19,164	0	9,033	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Increase in number of respondents and burden hours made to the customer feedback surveys. The numbers above reflect the total increase for the 3 years.

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Annual Cost to Federal Government: $2,336

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 12/29/2014

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