OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

COVID-19 Symptom Tracker for Students, Emotional Wellness Form for Students, and Student Vaccination Status and Test Consent Form Collection

OMB 1205-0548 · DOL/ETA.

OMB 1205-0548

Latest Forms, Documents, and Supporting Material

Document Name
Form ETA 9197 Student Vaccination Certification and Testing Consent Form
Form 9197 071222 tracked.docx Supplementary Document
Program Instruction Notice 21-12 Aligning with CDC IHE.pdf Supplementary Document
Justification for Non-Material Change 071822.docx Justification for No Material/Nonsubstantive Change
PIN 21-04 Resumption of Traditional Enrollment 10.15.21.pdf Supplementary Document
1205-0548 Supporting Statement 031422.docx Supporting Statement A
Student Vaccination Certification and Testing Consent Form
COVID-19 Emotional Wellness -- Students Other-Attestation
COVID-19 Symptom Tracker -- Students Other-Attestation

All Historical Document Collections

202207-1205-003 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2022-07-18
202202-1205-002 Approved without change	Revision of a currently approved collection	2022-03-15
202109-1205-003 Approved without change	New collection (Request for a new OMB Control Number)	2021-10-18