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Pecace Corps Volunteer Application
Volunteer Application
OMB: 0420-0005
IC ID: 905
OMB.report
PEACE
OMB 0420-0005
ICR 201610-0420-006
IC 905
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0005 can be found here:
2022-12-20 - Revision of a currently approved collection
2019-10-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
OMBNumberScreenShot_2014.5.9.jpg
Other-Screenshot of OMB Number
OMB 0420-0005 Peace Corps Volunteer Application
PCV Application_OMB (Nov16).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
Volunteer Application Screen Shots.docx
Screenshots
IC Document
Screenshot with edits marked.docx
Screenshot showing edits needed
IC Document
Information Collection (IC) Details
View Information Collection (IC)
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
Other-Screenshot of OMB Number
OMBNumberScreenShot_2014.5.9.jpg
Yes
Yes
Fillable Fileable Signable
Form and Instruction
OMB 0420-0005
Peace Corps Volunteer Application
PCV Application_OMB (Nov16).docx
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
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:
23,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
99 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
23,000
0
0
3,000
0
20,000
Annual IC Time Burden (Hours)
23,000
0
0
3,000
0
20,000
Annual IC Cost Burden (Dollars)
0
0
0
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
Screenshots
Volunteer Application Screen Shots.docx
03/07/2017
Screenshot showing edits needed
Screenshot with edits marked.docx
03/07/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.