GHSP Application

ICR 201705-0420-004

OMB: 0420-0561

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supporting Statement A
2017-05-09
IC Document Collections
IC ID
Document
Title
Status
226757 New
ICR Details
0420-0561 201705-0420-004
Historical Active
PEACE PC-2171
GHSP Application
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/13/2017
Retrieve Notice of Action (NOA) 05/16/2017
  Inventory as of this Action Requested Previously Approved
07/31/2020 36 Months From Approved
200 0 0
200 0 0
0 0 0

The Global Health Service Partnership Application (hereinafter "the Application") is necessary to recruit qualified volunteers to serve in Peace Corps Response, as Global Health Service Partnership Volunteers to build institutional capacity and help strengthen the quality of medical and nursing education. Applicants are selected based on their qualifications for a specific Volunteer assignment. This information is used by Peace Corps Response staff to perform initial screening for potential candidates for Global Health Service Partnership assignments. Applications contain basic information concerning technical skills and eligibility for Global Health Service Partnership assignments.

US Code: 22 USC 2501 Name of Law: Peace Corps Law
  
None

Not associated with rulemaking

  82 FR 9405 02/06/2017
82 FR 19761 04/28/2017
No

1
IC Title Form No. Form Name
GHSP Application PC-2171 GHSP Application

  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 200 0 0 200 0 0
Annual Time Burden (Hours) 200 0 0 200 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The burden increase due to agency discretion.

$23,400
No
No
No
No
No
Uncollected
Denora Miller 202 692-1236 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/16/2017


© 2024 OMB.report | Privacy Policy