Information Collection

Online Donation Form

IC 226962 under ICR 202205-0420-002 · OMB 0420-0564.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0564 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.