Information Collection

Peace Corps Returned Volunteer Impact Survey

IC 238482 under ICR 201911-0420-001 · OMB 0420-0569.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0569 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PC-2148 Peace Corps Returned Volunteer Impact Survey	Form and Instruction
PC-2148 Peace Corps Returned Volunteer Impact Survey Peace Corps Returned Volunteer Impact Survey Questionnaire Online PC-2148 Rev MAR 2020.pptx	Form and Instruction
PC-2148 Peace Corps Returned Volunteer Impact Survey Peace Corps Returned Volunteer Impact Survey printed PC-2148 Rev MAR 2020.docx	Form and Instruction

IC Title:

Peace Corps Returned Volunteer Impact Survey

Agency IC Tracking Number:

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-2148	Peace Corps Returned Volunteer Impact Survey	Peace Corps Returned Volunteer Impact Survey Questionnaire Online PC-2148 Rev MAR 2020.pptx		Yes	Yes	Fillable Fileable
Form and Instruction	PC-2148	Peace Corps Returned Volunteer Impact Survey	Peace Corps Returned Volunteer Impact Survey printed PC-2148 Rev MAR 2020.docx		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title: Current and Former Peace Corps Volunteers and Staff (PC-17 and PC-18)

FR Citation: 79 FR 41599

Number of Respondents: 997

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	997	997
Annual IC Time Burden (Hours)	249	249
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.