Peace Corps Confidential Reference Form

OMB 0420-0006

The reference form is a tool that the Peace Corps employs to ensure a standardized suitability review of applicants. The Assessment and Placement Officer requests the completion of the reference form and uses the information therein to assist in determining the suitability and competitiveness of the applicant. The reference form is an integral part of the selection process to determine whether an applicant is likely to succeed as a Peace Corps volunteer.

The latest form for Peace Corps Confidential Reference Form expires 2020-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form PC-1532 Peace Corps Confidential Reference Form Form and Instruction
Justification_PC Confidential Reference Form_2015.10.15.docx Justification for No Material/Nonsubstantive Change
Justification_for_changes_to_Confidential_Reference_Form_2014 7 29.docx Justification for No Material/Nonsubstantive Change
Confidential Reference Supporting Statement_ 08-30-2017.docx Supporting Statement A
Peace Corps Act.pdf Supplementary Document
Peace Corps Confidential Reference Form Form and Instruction

All Historical Document Collections

201705-0420-001 Approved with change	Revision of a currently approved collection	2017-05-16
201510-0420-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-10-20
201412-0420-002 Approved without change	Revision of a currently approved collection	2015-01-05
201407-0420-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-07-31
201405-0420-001 Approved without change	Revision of a currently approved collection	2014-05-14
201402-0420-001 Withdrawn and continue	Reinstatement with change of a previously approved collection	2014-05-07
201102-0420-001 Approved with change	Reinstatement without change of a previously approved collection	2011-02-04
200708-0420-004 Approved without change	Reinstatement with change of a previously approved collection	2007-09-14
200205-0420-002 Approved without change	Revision of a currently approved collection	2002-05-24
199904-0420-002 Approved without change	Revision of a currently approved collection	1999-04-29
199606-0420-002 Approved without change	Revision of a currently approved collection	1996-06-18
199603-0420-001 Approved without change	Reinstatement without change of a previously approved collection	1996-03-19
199306-0420-002 Improperly submitted and continue	Revision of a currently approved collection	1993-06-17
199212-0420-001 Approved without change	Revision of a currently approved collection	1992-12-16
199001-0420-002 Approved without change	Revision of a currently approved collection	1990-01-26
198611-0420-002 Approved without change	Revision of a currently approved collection	1986-11-04
198311-0420-001 Approved without change	Revision of a currently approved collection	1983-11-01
198202-0420-001 Approved without change	Reinstatement with change of a previously approved collection	1982-02-10
198101-0420-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-01-28
198009-0420-005 Approved without change	New collection (Request for a new OMB Control Number)	1980-09-30