Peace Corps Reference Form

Peace Corps Confidential Reference Form

⚠️ Notice: This information collection may be referencing outdated material.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 and Instruction
PC-1532 Peace Corps Confidential Reference Form PC Confidential Reference Form (Update)_2015.10.6.docx Form and Instruction

Information Collection (IC) Details

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:

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 (Update)_2015.10.6.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 %

	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

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.