Information Collection

Interview Rating Tool Questions

IC 214473 under ICR 201801-0420-001 · OMB 0420-0555.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PC-2134 Interview Rating Tool Questions	Form and Instruction
PC-2134 Rating Tool Interview Form Rating Tool Interview Form.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

PC-2134

Is this a Common Form? No

IC Status: Modified

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-2134	Rating Tool Interview Form	Rating Tool Interview Form.docx		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title: PC 17 Volunteer Applicant and Services

FR Citation: 65 FR 53722

Number of Respondents: 10,000

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	Previously Approved
Annual Number of Responses for this IC	10,000	5,500	4,500
Annual IC Time Burden (Hours)	15,000	8,250	6,750
Annual IC Cost Burden (Dollars)	0	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.