Submissions Related to the COVID-19 Vaccination Requirement
Revision of a currently approved collection
No
Emergency
11/30/2021
11/30/2021
Requested
Previously Approved
6 Months From Approved
05/31/2022
89
35
16
6
0
0
On September 9, 2021, President Biden issued Executive Order 14,043, which requires all Federal employees as defined in 5 U.S.C. § 2105, to be vaccinated against COVID-19, with exceptions only as required by law. Employees may seek a legal exception to the vaccination requirement due to a disability, using the template form provided by the Safer Federal Workforce Task Force. Part one of the form, which is not subject to clearance under the Paperwork Reduction Act (âPRAâ), provides that the individual employee would seek a medical exception to the requirement for COVID-19 vaccination or a delay because of a temporary condition or medical circumstance. Part two of the form, which is to be completed by the employeeâs medical provider, is subject to clearance approval from the Office of Management and Budget under the PRA. The FTC needs information requested on part two of the form from the medical provider to effectively evaluate the employeeâs reasonable accommodation request.
The FTC also needs to collect vaccination certification documents from prospective employees with a job offer. The purpose of this revised ICR is to seek approval for this collection from prospective employees with a job offer and from their medical provider if the prospective employee requests a medical exception.
The FTC needs to collect vaccination certification documents from prospective employees with a job offer. The FTC also needs to collect data from medical providers for prospective employees with a job offer that request a medical exception as set out on part two of the medical exception form. This is required by Executive Order 14043, Requiring Coronavirus Disease 2019 Vaccination for Federal Employees (Sept. 9, 2021). Executive Order 14,043 directed the Safer Federal Workforce Task Force to issue guidance within seven days of the date of that order (Sept. 9, 2021) on implementation by federal agencies covered by the order. The Task Force thereafter directed that Federal employees must be fully vaccinated by November 22, 2021, other than in limited circumstances where the law requires an exception. Agencies were also directed to require that individuals who start their government service after November 22, 2021, be fully vaccinated prior to their start date, except in limited circumstances where an accommodation is legally required.
The FTC already has approval from the Office of Management and Budget for information collections associated with Part II of the form relating to medical exceptions to the vaccination requirement for current federal employees.
EO: EO 13991 Name/Subject of EO: Protecting the Federal Workforce and Requiring Mask-Wearing
EO: EO 12196 Name/Subject of EO: Occupational Safety and Health Program for Federal Employees
US Code:
5 USC chapters 11 and 79
EO: EO 14043 Name/Subject of EO: Requiring Coronavirus Disease 2019 Vaccination for Federal Employees
EO: EO 14043 Name/Subject of EO: Requiring Coronavirus Disease 2019 Vaccination for Federal Employees
The FTC needs to collect vaccination certification documents from prospective employees with a job offer. Some prospective employees may seek a medical exception to the vaccination requirement and the FTC would then need to collect information from the medical provider for a prospective employee to effectively assess the request for a reasonable accommodation. This information collection was not part of the prior clearance request and also needs authorization under PRA to collect. This is also required by the President's Executive Order 14,043.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form Not Applicable Vaccination Certification Requirements for Prospective Employees with Federal Job Offers
Medical Exception Request-letter-11_8_21.pdf
Medical Certification for COVID-19 Vaccine Exception for Prospective Employees with Job Offer