Returned Peace Corps Volunteer (RPCV) Survey

Forms and Documents

Document Name	Status
Form PC-2148 Returned Peace Corps Volunteer(RPCV) Survey Form and Instruction	New
RPCV Survey Supporting Statement.docx Supporting Statement A	2017-02-15
RPCV Survey (final).pdf Supplementary Document	2017-02-10

IC Document Collections

IC ID	Document Title	Status
225686	Returned Peace Corps Volunteer(RPCV) Survey Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 201702-0420-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: PEACE	Agency Tracking No: PC-2148
Title: Returned Peace Corps Volunteer (RPCV) Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 05/03/2017
	Date Received in OIRA: 02/17/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The survey will be conducted by Peace Corps’ Office of Third Goal and Returned Volunteer Services (3GL). The information collected through the survey will support the Peace Corps’ ability to report on its performance, as well as to provide information to inform Peace Corps Operations.

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Authorizing Statute(s): US Code: 22 USC 2501 et seq Name of Law: Peace Corps Act
  

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:
	81 FR 70710	10/13/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 10610	02/14/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Returned Peace Corps Volunteer(RPCV) Survey	PC-2148	RPCV Survey

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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: Burden increased due to agency discretion.

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Annual Cost to Federal Government: $15,477

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 02/17/2017

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