Peace Corps RPCV Evacuation Survey

Forms and Documents

Document	Type	Status	Availability
Form PC-2190 Return Peace Corps Volunteer Evacuation Survey 2020	Form	New	Repair queued
RPCV Evacuation Survey Supporting Statement Questions for Clearance Part B.docx	Supporting Statement B	Uploaded 2020-05-20	Repair queued
RPCV Evacuation Survey Supporting Statement Questions for Clearance Part A.docx	Supporting Statement A	Uploaded 2020-05-20	Available
Emergency Clearance Letter to OMB.docx	Supplementary Document	Uploaded 2020-05-20	Available
Returned Peace Corps Volunteer Evacuation Survey - Survey Questionnaire - Online Draft PC-2190.pptx	Supplementary Document	Uploaded 2020-05-20	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
241919	Return Peace Corps Volunteer Evacuation Survey 2020	Form	New

ICR Details

OMB Control No: 0420-0570	ICR Reference No: 202005-0420-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: PEACE	Agency Tracking No: PC-2190
Title: Peace Corps RPCV Evacuation Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  Yes
Type of Review Request: Emergency	Approval Requested By: 05/22/2020
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/22/2020
	Date Received in OIRA: 05/21/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	6 Months From Approved
Responses	2,688	0	0
Time Burden (Hours)	672	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Collect information concerning the experience of the world wide evacuation from Returned Peace Corps Volunteers (RPCVs), including Volunteers, Trainees, and Response Volunteers, who were recently evacuated from their countries of service in response to the coronavirus disease 2019 (COVID 19) pandemic.

Emergency Justfication: To capture the experience of the Peace Corps evacuation world wide, while the experience is still fresh with the individual. This survey will fulfill the mandates of the Farr-Castle Act, and the Kate Puzey Act that we cannot fulfill using our normal survey due to the evacuation.

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Authorizing Statute(s): US Code: 22 USC 2501 Name of Law: Peace Corps Act
  

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

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Return Peace Corps Volunteer Evacuation Survey 2020	PC-2190	Returned Peace Corps Volunteer Evacuation Survey 2020 PC-2190

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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	2,688	0	0	2,688	0	0
Annual Time Burden (Hours)	672	0	0	672	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: The usage of this form will be to obtain lessons learned from the impacted RPCVs about the Peace Corps’ evacuation process; so as to better inform the agency’s emergency preparedness and response in the future; gage the RPCV interest for re-enrolling or re-instatement to Peace Corps service; and obtain insights on how the Peace Corps can better continue working with the evacuated RPCVs, consistent with the Peace Corps Act. It is important to keep the recent evacuees engaged with the Peace Corps at this time, as the Peace Corps is actively working on options to return to service. Keeping evacuated RPCVs engaged by gaining insights on their interests in re-enrollment or re-instatement opportunities will assist the agency with its efforts to quickly return to service when the time is right.

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Annual Cost to Federal Government: $19,232

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? Yes

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Common Form ICR:  Yes

Description/Changes for Common Form Usage:  The usage of this form will be to obtain lessons learned from the impacted RPCVs about the Peace Corps’ evacuation process; so as to better inform the agency’s emergency preparedness and response in the future; gage the RPCV interest for re-enrolling or re-instatement to Peace Corps service; and obtain insights on how the Peace Corps can better continue working with the evacuated RPCVs, consistent with the Peace Corps Act. It is important to keep the recent evacuees engaged with the Peace Corps at this time, as the Peace Corps is actively working on options to return to service. Keeping evacuated RPCVs engaged by gaining insights on their interests in re-enrollment or re-instatement opportunities will assist the agency with its efforts to quickly return to service when the time is right.

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

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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: 05/21/2020

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