OMB control number
Report of Dental Examinitaion
OMB 0420-0546 ยท PEACE.
OMB 0420-0546
The Peace Corps Office of Medical Services is responsible for the collection of applicant dental information, using the Report of Dental Exam form. The Dental Exam form is completed by the applicant and the applicant's examining dentist. The results of the examinations are used to ensure that applicants for Volunteer service will, with reasonable accommodation, be able to serve in the Peace Corps without jeopardizing their health.
The latest form for Report of Dental Examinitaion expires 2027-10-31 and is listed under ICR 202408-0420-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form PC-OMS-1790 Dental Report of Dental Evaluation | Form and Instruction |
 Report_of_Dental_Evaluation_Justification.docx | Justification for No Material/Nonsubstantive Change |
| PC-17.pdf | Supplementary Document |
| Supporting Statement A 0420-0546 Report of Dental Examination.docx | Supporting Statement A |
 Report of Dental Evaluation |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202408-0420-002 | Reinstatement without change of a previously approved collection | 2024-08-23 | ||
| 202011-0420-007 | Reinstatement without change of a previously approved collection | 2020-11-17 | ||
| 201610-0420-004 | Revision of a currently approved collection | 2017-01-31 | Approved without change | |
| 201410-0420-002 | Reinstatement without change of a previously approved collection | 2014-10-14 | Approved with change | |
| 201106-0420-002 | New collection (Request for a new OMB Control Number) | 2011-07-01 | Approved with change |