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Peace Corps Questionnaire for Peace Corps Volunteer Background Investigations Form
Peace Corps Questionnaire for Peace Corps Volunteer Background Investigations Form
OMB: 0420-0001
IC ID: 900
OMB.report
PEACE
OMB 0420-0001
ICR 201707-0420-001
IC 900
( )
Documents and Forms
Document Name
Document Type
Form PC-0005
Peace Corps Questionnaire for Peace Corps Volunteer Background Investigations Form
Form and Instruction
PC-0005 Peace Corps Questionaire for Peace Corps Volunteer Backg
Questionnaire for PCV Background Investigation-final.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Peace Corps Questionnaire for Peace Corps Volunteer Background Investigations Form
Agency IC Tracking Number:
PC-0005
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
PC-0005
Peace Corps Questionaire for Peace Corps Volunteer Background Investigation
Questionnaire for PCV Background Investigation-final.docx
Yes
Yes
Fillable Fileable
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:
FR Citation:
Number of Respondents:
5,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
5,000
0
500
0
4,500
0
Annual IC Time Burden (Hours)
167
0
-208
0
375
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.