PFPA Recruitment, Medical, and Fitness Forms

OMB 0704-0588

This information collection is essential to PFPA and is used to make a determination of fitness for federal employment in the field of law enforcement. To that end, criminal, background and medical information is collected on the applicants.

The latest form for PFPA Recruitment, Medical, and Fitness Forms expires 2022-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form PFPA Form 1408 1. Application Status Request (PFPA Form 1408) Form and Instruction
Form PFPA Form 1409 Character Reference Questionnaire (PFPA Form 1409) Form and Instruction
Form PFPA Form 1410 Employer Reference Questionnaire (PFPA Form 1410) Form and Instruction
Form PFPA Form 1407 Internal Affairs Request (PFPA Form 1407) Form and Instruction
Form PFPA Form 6040 Supplemental Medical History Questionnaire (PFPA Form 6040) Form and Instruction
Form PFPA Form 1400 Authorization for Release of Information (PFPA Form 1400) Form and Instruction
Salesforce DRAFT PIA.pdf Supplementary Document
0704-0588 SSA 11.28.22.docx Supporting Statement A
FORM 1410_Email & Phone Script.docx Supplementary Document
FORM 1409_Email & Phone Script.docx Supplementary Document
FORM 1407_Email & Phone Script.docx Supplementary Document
0704-0588 SSN Justification Memorandum.PDF Supplementary Document
1. Application Status Request (PFPA Form 1408) Form and Instruction
Character Reference Questionnaire (PFPA Form 1409) Form and Instruction
Employer Reference Questionnaire (PFPA Form 1410) Form and Instruction
Internal Affairs Request (PFPA Form 1407) Form and Instruction
Supplemental Medical History Questionnaire (PFPA Form 6040) Form and Instruction
Authorization for Release of Information (PFPA Form 1400) Form and Instruction

All Historical Document Collections

202209-0704-004 Approved with change	Extension without change of a currently approved collection	2022-11-30
201905-0704-007 Approved with change	New collection (Request for a new OMB Control Number)	2019-06-11

OMB Details

Authorization for Release of Information (PFPA Form 1400)

Federal Enterprise Architecture: Defense and National Security - Operational Defense

Form PFPA Form 1400

Authorization for Release of Information

Fillable Fileable Signable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.