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Peace Corps Response Interview Assessment Form

IC 214707 under ICR 202204-0420-001 · OMB 0420-0556.

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Peace Corps Response Interview Assessment Form PC-2135
 
No Modified
 
Voluntary
 
22 CFR 305

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form PC-2135 Peace Corps Response Interview Assessment Form PCR Interview Assessment Form PC-2135 OMB 0420-0556 Rev Apr 2022.docx Yes Yes Fillable Fileable

International Affairs and Commerce International Development and Humanitarian Aid

PC-21 Peace Corps Response Database  76 FR 77576

1,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 0 0 0 1,000 0
Annual IC Time Burden (Hours) 1,000 0 0 0 1,000 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PC-2135 Tracked Changes PCR Interview Assessment Form_Tracked Changes PC-2135 OMB 0420-0556 Prev Apr 2022.docx 04/28/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.