Required Peace Corps Immunization Documentation Form

Individual Specific Medical Evaluation Forms (15)

OMB: 0420-0550

IC ID: 224327

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Required Peace Corps Immunization Documentation Form PC-262-16
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction PC-262-16 Required Peace Corps Immunization Documentation Form Required_PC_Immunizations_YF.docx Yes No Fillable Printable

International Affairs and Commerce International Development and Humanitarian Aid

 

5,600 0
   
Individuals or Households
 
   0 %

  Requested 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 5,600 0 0 0 0 5,600
Annual IC Time Burden (Hours) 5,600 0 0 0 0 5,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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