Online Donation Form

Office of Gifts and Grants Management Donation Form

Documents and Forms

Document Name Document Type
Form PC-2143 A Online Donation Form Form
PC-2143 A Online Donation form PC-2143A Online Donation Form (2022).docx www.peacecorps.gov/donate/?_ga=2.242734794.975622665.1654466414-510023205.1632090201 Form
PC-2143 A Online Donation form PC-2143A Online Donation Form (2022).docx www.peacecorps.gov/donate/?_ga=2.242734794.975622665.1654466414-510023205.1632090201 Form

Information Collection (IC) Details

IC Title:	Online Donation Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	PC-2143 A	Online Donation form	PC-2143A Online Donation Form (2022).docx	https://www.peacecorps.gov/donate/?_ga=2.242734794.975622665.1654466414-510023205.1632090201	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title: PC-10, Office of Private Sector Initiatives Database	FR Citation: 73 FR 59685

Number of Respondents: 720	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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	720	-11,240	11,960
Annual IC Time Burden (Hours)	120	-1,873	1,993
Annual IC Cost Burden (Dollars)	0	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.