Information Collection

2017-18 Peace Corps Campus Ambassadors Program Exit Survey

IC 231294 under ICR 201712-0420-003 · OMB 0420-0545.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0545 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PC-2180 2017-18 Peace Corps Campus Ambassadors Program Exit Survey	Form and Instruction
PC-2180 2017-18 Campus Ambassadors Exit Survey 2017-18 CA Exit Survey in Survey Monkey.pdf	Form and Instruction
Fast-track OMB Control Number_2017-18 CA Exit Survey.docx Fast Track submission form	IC Document

IC Title:

2017-18 Peace Corps Campus Ambassadors Program Exit Survey

Agency IC Tracking Number:

PC-2180

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-2180	2017-18 Campus Ambassadors Exit Survey	2017-18 CA Exit Survey in Survey Monkey.pdf		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: 470

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	470	470
Annual IC Time Burden (Hours)	39	39
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track submission form	Fast-track OMB Control Number_2017-18 CA Exit Survey.docx	05/01/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.