Information Collection

Peace Corps Questionnaire for Peace Corps Volunteer Background Investigations Form

IC 900 under ICR 201509-0420-001 · OMB 0420-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PC-0005 Peace Corps Questionnaire for Peace Corps Volunteer Background Investigations Form	Form and Instruction
PC-0005 Questionnaire for Peace Corps Volunteer Background Inves Questionnaire for Peace Corps Volunteer Background Investigation_2015-9-24.pdf	Form and Instruction

IC Title:

Peace Corps Questionnaire for Peace Corps Volunteer Background Investigations Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PC-0005	Questionnaire for Peace Corps Volunteer Background Investigation	Questionnaire for Peace Corps Volunteer Background Investigation_2015-9-24.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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