New
collection (Request for a new OMB Control Number)
No
Regular
12/06/2024
Requested
Previously Approved
36 Months From Approved
100
0
17
0
0
0
The Peace Corps must determine if any
incoming federal employees, political appointees, contractors, or
interns have an immediate professional affiliation with the
Intelligence Community, as this would be a conflict of interest.
This form asks additional questions as part of the hiring process
for consideration. This form will only be used if the applicant
answers yes on the Intelligence Background Questionnaire (OMB
0420-0551).
US Code:
22
USC 2501 Name of Law: The Peace Corps Act of 1961, as
amended
This is a new form to
supplement PC-1336, Intelligence Background Questionnaire. The
questions will provide greater context on the applicant's
relationship with an intelligence agency which will allow the Peace
Corps to make a final decision on employment. The form will only be
used if the applicant states 'yes' on the Intelligence Background
Questionnaire.
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:
(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;
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.