OMB control number

PFPA Recruitment, Medical, and Fitness Forms

OMB 0704-0588 · DOD/DODDEP.

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 2029-07-31 and is listed under ICR 202605-0704-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form PFPA Form 1408 Application Status Request	Form and Instruction
Form PFPA Form 1409 Character Reference Questionnaire	Form and Instruction
Form PFPA Form 1410 Employer Reference Questionnaire	Form and Instruction
Form PFPA Form 1407 Internal Affairs Request	Form and Instruction
Form PFPA Form 6040 Supplemental Medical History Questionnaire	Form and Instruction
Form PFPA Form 1400 Authorization for the Release of Information	Form and Instruction
0704-0588_SSA_5.13.26.docx	Supporting Statement A
SSN Justification Memo 0704-0588.pdf	Supplementary Document
FORM 1410_Email Phone Script.docx	Supplementary Document
FORM 1409_Email Phone Script.docx	Supplementary Document
FORM 1407_Email Phone Script.docx	Supplementary Document
PFPA Salesforce Enterprise Environment _Privacy Impact Assessment (PIA)-Approved 4142026.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All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202605-0704-003	Reinstatement without change of a previously approved collection	2026-05-13
202209-0704-004	Extension without change of a currently approved collection	2022-11-30	Approved with change
201905-0704-007	New collection (Request for a new OMB Control Number)	2019-06-11	Approved with change

OMB Details

Authorization for Release of Information (PFPA Form 1400)

Federal Enterprise Architecture: Defense and National Security - Operational Defense

Information collection instruments
Form	Name	Electronic access	Type
Form PFPA Form 1400	Authorization for the Release of Information	Fillable Fileable	Form and instruction

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