View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0420-0006	ICR Reference No: 201102-0420-001
Status: Historical Active	Previous ICR Reference No: 200708-0420-004
Agency/Subagency: PEACE	Agency Tracking No:
Title: Peace Corps Confidential Reference Form
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/25/2011
	Date Received in OIRA: 02/04/2011
Terms of Clearance: OMB notes that his collection was used in violation of the PRA between 11/30/2010 and this notice of action.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	36 Months From Approved
Responses	40,200	0	0
Time Burden (Hours)	20,100	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	40,200	12,480	27,720
Annual Time Burden (Hours)	20,100	6,240	13,860
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Change in burden due to PRA Violation. The form expired 11/2010 and is currently in use without OMB's approval.

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