OMB control number
Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps
OMB 0937-0025 · HHS/OASH.
The Commissioned Corps of the U.S. Public Health Service has a need for the information in order to assess the qualifications of each applicant and make a determination whether the applicant meets the requirements to receive a commission. The information is used to make determinations on candidates/applicants seeking appointment to the Regular Corps and Ready Reserve Corps to assess whether they are suitable for life in the uniformed services based upon a review of a variety of assessment factors including, but not limited to: personal adjustment, employment history, character, and a candidate's prior history of service in one of the uniformed services. Their potential for leadership as a commissioned officer and their ability to deal effectively with people is evaluated.
The latest form for Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps expires 2027-02-28 and can be found here.
Document Name |
|---|
Form and Instruction |
Form |
Supporting Statement A |
Supplementary Document |
Form PHS-50 PHS-50
PHS-50 PHS-50
Federal Enterprise Architecture: Health - Health Care Services
| Form PHS-50 | APPLICATION FOR APPOINTMENT AS A COMMISSIONED OFFICER IN THE COMMISSIONED CORPS OF THE U.S. PUBLIC HEALTH SERVICE | Fillable Fileable Signable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.