PFPA Recruitment, Medical, and Fitness Forms

ICR 202209-0704-004

OMB: 0704-0588

Federal Form Document

Forms and Documents

Document Name	Status
Form PFPA Form 1408 1. Application Status Request (PFPA Form 1408) Form and Instruction	Modified
Form PFPA Form 1409 Character Reference Questionnaire (PFPA Form 1409) Form and Instruction	Unchanged
Form PFPA Form 1410 Employer Reference Questionnaire (PFPA Form 1410) Form and Instruction	Unchanged
Form PFPA Form 1407 Internal Affairs Request (PFPA Form 1407) Form and Instruction	Unchanged
Form PFPA Form 6040 Supplemental Medical History Questionnaire (PFPA Form 6040) Form and Instruction	Unchanged
Form PFPA Form 1400 Authorization for Release of Information (PFPA Form 1400) Form and Instruction	Unchanged
Salesforce DRAFT PIA.pdf Supplementary Document	2022-11-29
0704-0588 SSA 11.28.22.docx Supporting Statement A	2022-11-28
FORM 1410_Email & Phone Script.docx Supplementary Document	2022-11-28
FORM 1409_Email & Phone Script.docx Supplementary Document	2022-11-28
FORM 1407_Email & Phone Script.docx Supplementary Document	2022-11-28
0704-0588 SSN Justification Memorandum.PDF Supplementary Document	2022-11-28

IC Document Collections

IC ID	Document Title	Status
236337	1. Application Status Request (PFPA Form 1408) Form and Instruction	Modified
236336	Character Reference Questionnaire (PFPA Form 1409) Form and Instruction	Unchanged
236262	Employer Reference Questionnaire (PFPA Form 1410) Form and Instruction	Unchanged
236260	Internal Affairs Request (PFPA Form 1407) Form and Instruction	Unchanged
236253	Supplemental Medical History Questionnaire (PFPA Form 6040) Form and Instruction	Unchanged
236251	Authorization for Release of Information (PFPA Form 1400) Form and Instruction	Unchanged