Peace Corps Returned Volunteer Impact Survey

Forms and Documents

Document Name	Status
Form PC-2148 Peace Corps Returned Volunteer Impact Survey Form and Instruction	New
Peace Corps Returned Volunteer Impact Survey - Supporting Statement B Rev MAR 2020.docx Supporting Statement B	2020-04-09
Peace Corps Returned Volunteer Impact Survey - Supporting Statement A Rev MAR 2020.docx Supporting Statement A	2020-04-09

IC Document Collections

IC ID	Document Title	Status
238482	Peace Corps Returned Volunteer Impact Survey Form and Instruction	New

ICR Details

OMB Control No: 0420-0569	ICR Reference No: 201911-0420-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: PEACE	Agency Tracking No: PC-2148
Title: Peace Corps Returned Volunteer Impact Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/23/2020
	Date Received in OIRA: 11/08/2019
Terms of Clearance: The results of the survey cannot be used to measure volunteer outcomes as compared to the general public. Comparisons with the general population statistics should be limited to demographic information.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	36 Months From Approved
Responses	997	0	0
Time Burden (Hours)	249	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Peace Corps Returned Volunteer Impact Survey is designed to collect information from Returned Peace Corps Volunteers whose first service ended in 2017, 2014, 2009, or 1999, corresponding to 2, 5, 10, and 20 years post-service. The survey will assess the impact of the Peace Corps on the former Volunteer, including the Volunteers’ well-being, career, civic engagement, and commitment to public service. Additionally, by documenting the career paths chosen by RPCVs at different life stages post-service and engagement they have with their communities, the agency will have data relating to the continuing impact of the Peace Corps on American society, through the lives and careers that Peace Corps Volunteers build after they return to the United States after service.

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Authorizing Statute(s): US Code: 22 USC 2504 Name of Law: Peace Corps Law
  

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:
	84 FR 33097	07/11/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 56207	10/21/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Peace Corps Returned Volunteer Impact Survey	PC-2148, PC-2148	Peace Corps Returned Volunteer Impact Survey ,   Peace Corps Returned Volunteer Impact Survey

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ICR Summary 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	997	0	0	997	0	0
Annual Time Burden (Hours)	249	0	0	249	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection, there is no change in burden.

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Annual Cost to Federal Government: $3,052

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: 11/08/2019

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