Information Collection Request
Peace Corps Volunteer Authorization for Examination and/or Treatment
ICR 202212-1240-002 · OMB 1240-0059 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1240-0059 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CA-15 Peace Corps Volunteer Authorization for Examination and/or Treatment |
Form and Instruction | Modified | Repair queued |
 OPM WAGES AND SALARY 2022.pdf |
Supplementary Document | Uploaded 2022-12-23 | Repair queued |
 BLS Data Occupational and Employment Earnings.docx |
Supplementary Document | Uploaded 2022-12-23 | Repair queued |
| OMB 1240-0059 Peace Corps Supporting Statement FINAL 1 20 23.docx |
Supporting Statement A | Uploaded 2023-01-23 | Repair queued |
| 81 Fed. Reg 47418 (July 21, 2016).pdf |
Supplementary Document | Uploaded 2022-12-23 | Repair queued |
| Privacy Act Systems-FECA.docx |
Supplementary Document | Uploaded 2022-12-23 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 236890 |  Peace Corps Volunteer Authorization for Examination and/or Treatment |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/OWCP |
| OMB Control No | 1240-0059 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202207-1240-006 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |