Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps

ICR 202312-0937-001

OMB: 0937-0025

Federal Form Document

Forms and Documents

Document Name	Status
Form PHS-50 PHS-50 Form and Instruction	Modified
Form PHS-1813 PHS-1813 Form	Modified
SS-A 0937-0025 PHS 50 and PHS 1813 revised (6).docx Supporting Statement A	2023-12-29
2023-27974 60 Day Notice 2023.pdf Supplementary Document	2023-12-29

IC Document Collections

IC ID	Document Title	Status
7733	PHS-50 Form and Instruction	Modified
46578	PHS-1813 Form	Modified
223158	Addendum: Commissioned Corps Personal Statement Other-Personal Statement	Modified
193548	Interested Health Professionals	Unchanged