Information Collection

Phone-In Donation Form

IC 226964 under ICR 202508-0420-001 · OMB 0420-0564.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PC-2143B Peace Corps Mail-in or Phone-In Donation form Phone-In Donation Form	Form
PC-2143B Peace Corps Mail-in or Phone-In Donation form PC-2143B Mail or Phone-In Donation Form (2022).DOCX files.peacecorps.gov/multimedia/pdf/donors/Peace_Corps_Donation_Form.pdf	Form

IC Title:

Agency IC Tracking Number:

PC-2143B

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-2143B			https://files.peacecorps.gov/multimedia/pdf/donors/Peace_Corps_Donation_Form.pdf	No		Printable Only

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: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50	-130	180
Annual IC Time Burden (Hours)	8	-22	30
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.

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