Information Collection

2018-19 Campus Ambassador Application

IC 229356 under ICR 201712-0420-002 · OMB 0420-0565.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0565 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PC-2178 2018-19 Campus Ambassador Application	Form and Instruction
PC-2178 2018-19 Campus Ambassador Application Updated 12.5.17 - 2018-19 Campus Ambassador Application Questions.docx	Form and Instruction

IC Title:

2018-19 Campus Ambassador Application

Agency IC Tracking Number:

PC-2178

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PC-2178	2018-19 Campus Ambassador Application	Updated 12.5.17 - 2018-19 Campus Ambassador Application Questions.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: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.