OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Report of Physical Examination

OMB 0420-0549 ยท PEACE.

OMB 0420-0549

The information contained in the Report of Physical Examination will be used to make an individualized determination as to whether an Applicant for Volunteer service will, with reasonable accommodation, be able to perform the essential functions of a Peace Corps Volunteer and complete a tour of service without undue disruption due to health problems.

The latest form for Report of Physical Examination expires 2027-10-31 and is listed under ICR 202408-0420-001.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form PC-1790-S Report of Physical ExaminationForm and Instruction
Form PC-1790-S Report of Physical ExaminationForm and Instruction
Report_Physical_Exam_Justification.docxJustification for No Material/Nonsubstantive Change
PC-17.pdfSupplementary Document
Supporting Statement 0420-0549 Report of Physical Examination.docxSupporting Statement A
Supporting Statement 0420-0549 Report of Physical Examination.docxSupporting Statement A
Report of Physical Examination Form and Instruction
Report of Physical Examination Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202408-0420-001 Reinstatement without change of a previously approved collection 2024-08-23
202011-0420-004 Reinstatement with change of a previously approved collection 2020-11-17
201611-0420-002 Revision of a currently approved collection 2017-02-07 Approved without change
201401-0420-003 Extension without change of a currently approved collection 2014-02-10 Approved with change
201201-0420-001 New collection (Request for a new OMB Control Number) 2012-01-30 Approved with change