OMB control number

Peace Corps Confidential Reference Form

OMB 0420-0006 ยท PEACE.

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 is listed under ICR 201705-0420-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form PC-1532 Peace Corps Confidential Reference FormForm 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.docxSupporting Statement A
Peace Corps Act.pdf Supplementary Document
Peace Corps Confidential Reference Form Form and Instruction

All Historical Document Collections

Historical document collections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201402-0420-001 Reinstatement with change of a previously approved collection 2014-05-07 Withdrawn and continue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