Information Collection

VRS Applicant Feedback Surveys

IC 215834 under ICR 201606-0420-006 · OMB 0420-0545.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0545 can be found here:

Documents and Forms

Document Name Document Type
Form PC-2147 VRS Applicant Feedback Surveys Form and Instruction
Request Template for VRS Survey 1.docx Other-Initial Communication
Email Request Template for VRS Survey 2.docx Other-Initial Email Communication
Email Request Template for VRS Survey 3.docx Other-Initial Email Communication
PC-2147 Applicant Withdraw Survey VRS Survey 3_ Applicant Withdraw.docx Form and Instruction
PC2145 Application Complete VRS Survey 1_Application Complete.docx Form
PC2146 Invitee Feedback Prior to Departure VRS Survey 2_Invitee Feedback Prior to Departure.docx Form
Generic Clearance Submission - VRS Applicant Feedback Surveys_Final.docx Supporting Statement-VRS Applicant Feedback Survey IC Document
Justification for changes to Peace Corps Applicant Feedback Surveys_2015....docx Justification for Changes to Peace Corps to VRS Applicant Feedback Surveys IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	VRS Applicant Feedback Surveys	Agency IC Tracking Number:	PC 2145;PC2146

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PC-2147	Applicant Withdraw Survey	VRS Survey 3_ Applicant Withdraw.docx	Yes	Yes	Fillable Fileable
Other-Initial Communication			Request Template for VRS Survey 1.docx	Yes	Yes	Printable Only
Other-Initial Email Communication			Email Request Template for VRS Survey 2.docx	Yes	Yes	Printable Only
Other-Initial Email Communication			Email Request Template for VRS Survey 3.docx	Yes	Yes	Printable Only
Form	PC2145	Application Complete	VRS Survey 1_Application Complete.docx	Yes	Yes	Fillable Fileable
Form	PC2146	Invitee Feedback Prior to Departure	VRS Survey 2_Invitee Feedback Prior to Departure.docx	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 29,050	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	29,050	29,050
Annual IC Time Burden (Hours)	2,421	2,421
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement-VRS Applicant Feedback Survey	Generic Clearance Submission - VRS Applicant Feedback Surveys_Final.docx	03/24/2015
Justification for Changes to Peace Corps to VRS Applicant Feedback Surveys	Justification for changes to Peace Corps Applicant Feedback Surveys_2015....docx	06/21/2016

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