Information Collection

Peace Corps Reference Form

IC 909 under ICR 200708-0420-004 · OMB 0420-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0006 can be found here:

Documents and Forms

Document Name Document Type
Form PC-1532 Peace Corps Reference Form Form
PC-1532 Confidential Reference Form PC-1532-Confidential Reference Form.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Peace Corps Reference Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PC-1532	Confidential Reference Form	PC-1532-Confidential Reference Form.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27,720	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	27,720	27,719	1
Annual IC Time Burden (Hours)	13,860	168	13,692
Annual IC Cost Burden (Dollars)	0	-151,000	151,000

Documents for IC

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.