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OMB Control No: 0420-0545	ICR Reference No: 202610-0420-003
Status: Received in OIRA	Previous ICR Reference No: 202302-0420-001
Agency/Subagency: PEACE	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/13/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2027
Responses	226	85,917
Time Burden (Hours)	38	28,197
Cost Burden (Dollars)	64	102

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	226	85,917	-85,691
Annual Time Burden (Hours)	38	28,197	-28,159
Annual Cost Burden (Dollars)	64	102	-38

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This will be a short survey of Returned Peace Corps Volunteers who served in the Solomon Islands.

Annual Cost to Federal Government: $64

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Jay Olin 202 692-2507 jolin@peacecorps.gov

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