Peace Corps Returned Volunteer Impact Survey

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.