OMB control number
GHSP Professional Reference Form
OMB 0420-0562 ยท PEACE.
OMB 0420-0562
The information collected in the reference forms is an integral part of the screening and selection process and is used to determine whether an applicant would be a good candidate as a Global Health Service Partnership Volunteer. The information obtained from these forms is used by the recruitment and placement specialist within the Office of Peace Corps Response. There is no other means of obtaining the required data, and the information gathered is not shared with outside sources or other government agencies.
The latest form for GHSP Professional Reference Form expires 2020-08-31 and is listed under ICR 201705-0420-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form PC-2172 GHSP Professional Reference Form | Form and Instruction |
| Supporting Statement-GHSP References-Final.docx | Supporting Statement A |
 GHSP Professional Reference Form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201705-0420-003 | New collection (Request for a new OMB Control Number) | 2017-05-16 | Approved without change |