Information Collection

Peace Corps Reference Form

IC 909 under ICR 201412-0420-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 and Instruction
PC-1532 Peace Corps Confidential Reference Form PC Confidential Reference Form-Final.docx	Form and Instruction

IC Title:

Peace Corps Reference Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 and Instruction	PC-1532	Peace Corps Confidential Reference Form	PC Confidential Reference Form-Final.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,000

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	Previously Approved
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	6,667	6,667
Annual IC Cost Burden (Dollars)	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.