Report of Medical Examination

Peace Corps Volunter Medical Application Health Status Review

OMB: 0420-0510

IC ID: 183919

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Report of Medical Examination
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction PC-1790S Report of Medical Exam Form PC-OMS-1790S Report of Medical Examination.pdf No   Paper Only

International Affairs and Commerce International Development and Humanitarian Aid

Volunteer Applicant and Service Records System (PC-17)  70 FR 1

6,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,000 0 0 6,000 0 0
Annual IC Time Burden (Hours) 3,000 0 0 3,000 0 0
Annual IC Cost Burden (Dollars) 312,000 0 0 312,000 0 0

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.

© 2024 OMB.report | Privacy Policy