Correspondence Match Educator Online Enrollment Form: Educator Sign-up Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form PC-DP.969.5 Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form	Form and Instruction	Modified	Available
Justification for Fast Track Changes to OMB 0420-0540.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-03-09	Available
Justification for Fast Track Changes to OMB 0420-0540.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-07-19	Available
CM Educator Enrollment Form - Future.png	Supporting Statement B	Uploaded 2016-07-19	Available
22 USC 2501.pdf	Supplementary Document	Uploaded 2010-12-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181387	Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form	Form and Instruction	Modified

ICR Details

OMB Control No: 0420-0540	ICR Reference No: 201703-0420-001
Status: Historical Active	Previous ICR Reference No: 201607-0420-004
Agency/Subagency: PEACE	Agency Tracking No:
Title: Correspondence Match Educator Online Enrollment Form: Educator Sign-up Form
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: 05/23/2017
	Date Received in OIRA: 05/18/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	06/30/2017	06/30/2017
Responses	3,000	0	3,000
Time Burden (Hours)	500	0	500
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Third Goal and Returned Volunteer Services's Correspondence Match program connects an educator with a Peace Corps Volunteer serving overseas. The correspondence between the Volunteer, the educator, and his or her students is used to foster classroom activities and learning experiences relating to the Volunteer's country of service and the Peace Corps. In order to participate in the program and be matched with a Volunteer, the educator must complete the Correspondence Match Educator Enrollment Form. The Correspondence Match Educator Enrollment Form is the first point of contact with the participating educator. It is the fundamental source of information from educators interested in participating in the Correspondence Match program. The information is used to make a suitable match between the educator and a Peace Corps Volunteer serving overseas.

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Authorizing Statute(s): US Code: 22 USC 2501 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:
	79 FR 5471	01/31/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 20925	04/14/2014
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form	PC-DP.969.5	Correspondence Match Educator Enrollment Form

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ICR Summary of Burden

table that charts list 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	3,000	3,000	0	0	0	0
Annual Time Burden (Hours)	500	500	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: There is an increase in the Total Cost to Federal Government due to a miscalculation in the 2010 estimate. Also the number of responses went down from 10, 00 to 3, 000 because fewer teacherd are currently signing up for the program.

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Annual Cost to Federal Government: $42,970

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: 05/18/2017

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