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Federal forms, ICRs, and supporting documents

Information Collection

Vaccination Certification Requirements for Prospective Employees with Federal Job Offers

IC 250489 under ICR 202111-3084-003 · OMB 3084-0170.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Emergency Request Letter
Other-Emergency Request Letter
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Vaccination Certification Requirements for Prospective Employees with Federal Job Offers
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Not Applicable Letter for Final Job Offer Final Offer Letter with Vaccination Language.pdf Yes Yes Printable Only
Other-Emergency Request Letter Medical Exception Request-Letter-11_29_2021.pdf Yes Yes Fillable Printable

Economic Development Business and Industry Development

FTC-II-4  84 FR 16493

50 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50 50 0 0 0 0
Annual IC Time Burden (Hours) 9 0 9 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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