Information Collection

Peace Corps Reference Form

IC 909 under ICR 201102-0420-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form PC-1532 Peace Corps Reference Form	Form
PC-1532 Confidential Reference Form PC-1532-Confidential Reference Form.pdf	Form

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:

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-1532	Confidential Reference Form	PC-1532-Confidential Reference Form.pdf		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 97 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	40,200	12,480	27,720
Annual IC Time Burden (Hours)	20,100	6,240	13,860
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.