Office of Gifts and Grants Management Donation Form

ICR 202205-0420-002

OMB: 0420-0564

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
226964 Modified
226963 Removed
226962 Modified
ICR Details
0420-0564 202205-0420-002
Received in OIRA 201706-0420-003
PEACE PC-2143
Office of Gifts and Grants Management Donation Form
Reinstatement with change of a previously approved collection   No
Regular 06/05/2022
  Requested Previously Approved
36 Months From Approved
900 0
150 0
0 0

Peace Corps’ Office of Gifts and Grants Management (GGM) uses the information to process and manage all private sector financial donations to the Peace Corps. The type of information collected from potential donors to any of the funds includes name, address, gift amount, payment method and payment information, dedication message, donor intent, status as a returned Peace Corps Volunteer, consent to be listed in the agency’s donor recognition page, consent to share name with Peace Corps Volunteer, and consent to receive information about agency activities and opportunities to donate to or partner with the Peace Corps. Personal information, such as credit card information, is necessary to: a) process donations to the agency, b) respond to donor intent regarding the donation (i.e. dedication message or in honor or in memory of or a restricted gift to support a specific activity or Volunteer community project), c) send donor recognition items, where applicable, and/or, d) send the requisite tax acknowledgement letter.

US Code: 22 USC 2509 (a)(4) Name of Law: Peace Corps Act
  
None

Not associated with rulemaking

  86 FR 9957 02/17/2021
87 FR 12489 03/04/2022
No

2
IC Title Form No. Form Name
Call-in Donation Form PC-2143 C Call-in Donation Form
Mail-in or Phone-In Donation Form PC-2143B Peace Corps Mail-in or Phone-In Donation form
Online Donation Form PC-2143 A Online Donation form

  Total Request 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 900 0 0 -12,100 -130 13,130
Annual Time Burden (Hours) 150 0 0 -2,016 -22 2,188
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
This burden is the annual burden, not the total over three years, as explained in the Supplementary Statement, #15. Both the annual burden and a three-year burden are shown in #14 to demonstrate a crosswalk to the previous submission. Earlier form C is retired and form B can will be used for phone-in donations, since phone-in donations are extremely rare. Also, there was a small financial change for no longer using "return postage cost."

$17,150
No
    Yes
    Yes
No
No
No
No
Virginia Burke 202 692-1887 [email protected]

  No

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.
06/05/2022


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