Information Collection

Peace Corps Questionnaire for Peace Corps Volunteer Background Investigations Form

IC 900 under ICR 201707-0420-001 · OMB 0420-0001.

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

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 Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5,000	500	4,500
Annual IC Time Burden (Hours)	167	-208	375
Annual IC Cost Burden (Dollars)	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.