Report of Dental Examination

Peace Corps Volunter Medical Application and Health Status Review

OMB: 0420-0510

IC ID: 185725

Documents and Forms
Information Collection (IC) Details

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Report of Dental Examination
 
No Removed
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction PC-1790 Report of Dental Examination PC-OMS-1790 (Dental) Report of Dental Evaluation.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 0 0 -6,000 0 0 6,000
Annual IC Time Burden (Hours) 0 0 -3,000 0 0 3,000
Annual IC Cost Burden (Dollars) 0 0 -252,000 0 0 252,000

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