Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form PC-2176 B 2019 Coordinators Conference: Overall Evaluation	Form and Instruction	New	Available
Form PC-2176 A 2019 Coordinators Conference: Session Evaluation	Form and Instruction	New	Available
Form PC-2179 2018 Strategic Campus Recruiter Training Feedback Survey	Form and Instruction	New	Available
Form PC-2180 2017-18 Peace Corps Campus Ambassadors Program Exit Survey	Form and Instruction	New	Available
Peace Corps Generic Clearance Fast Track- Supporting Statement B.docx	Supporting Statement B	Uploaded 2018-01-25	Available
Peace Corps Generic Clearance Fast Track- Supporting Statement.docx	Supporting Statement A	Uploaded 2018-01-25	Available
Justification_for_changes_toFast Track_Form- Final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2014-12-29	Repair queued
Generic Clearance Submission Template.docx	Supplementary Document	Uploaded 2014-07-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237559	2019 Coordinators Conference: Overall Evaluation	Form and Instruction	New
237558	2019 Coordinators Conference: Session Evaluation	Form and Instruction	New
232098	2018 Strategic Campus Recruiter Training Feedback Survey	Form and Instruction	New
231294	2017-18 Peace Corps Campus Ambassadors Program Exit Survey	Form and Instruction	New

ICR Details

OMB Control No: 0420-0545	ICR Reference No: 201712-0420-003
Status: Active	Previous ICR Reference No: 201606-0420-006
Agency/Subagency: PEACE	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/30/2018
	Date Received in OIRA: 01/30/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved
Responses	85,917	0	0
Time Burden (Hours)	28,197	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Customer Service Standards
  

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:
	82 FR 45079	09/27/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 61804	12/29/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
2018 Strategic Campus Recruiter Training Feedback Survey	PC-2179	2018 Strategic Campus Recruiter Training Feedback Survey
2017-18 Peace Corps Campus Ambassadors Program Exit Survey	PC-2180	2017-18 Campus Ambassadors Exit Survey
2019 Coordinators Conference: Session Evaluation	PC-2176 A	2019 Coordinators Conference Session Evaluation
2019 Coordinators Conference: Overall Evaluation	PC-2176 B	2019 Coordinators Conference: Overall Evaluation

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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	85,917	0	0	0	0	85,917
Annual Time Burden (Hours)	28,197	0	0	0	0	28,197
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:

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Annual Cost to Federal Government: $2,336

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 01/30/2018

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