Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1. Application Status Request (PFPA Form 1408) New 240 20 600 Form and Instruction PFPA Form 1408 Application Status Request
Authorization for Release of Information (PFPA Form 1400) New 240 20 480 Form and Instruction PFPA Form 1400 Authorization for Release of Information
Character Reference Questionnaire (PFPA Form 1409) New 960 160 3840 Form and Instruction PFPA Form 1409 Character Reference Questionnaire
Employer Reference Questionnaire (PFPA Form 1410) New 960 160 4800 Form and Instruction PFPA Form 1410 Employer Reference Questionnaire
Internal Affairs Request (PFPA Form 1407) New 960 80 2400 Form and Instruction PFPA Form 1407 Internal Affairs Request
Supplemental Medical History Questionnaire (PFPA Form 6040) New 240 80 1920 Form and Instruction PFPA Form 6040 Supplemental Medical History Questionnaire
Total burden requested under this ICR: 3600 520 14040  
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