OMB control number
Request for Medical Exception to COVID-19 Vaccination Requirement
OMB 1212-0075 · PBGC.
OMB 1212-0075
Latest Forms, Documents, and Supporting Material
Document Name |
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Form and Instruction |
Supporting Statement A |
Form Part I Request for Medical Exception to COVID-19 Vaccination Requirement
Vaccine Requirement Exemption ICR Supporting Statement 2022.03.docx
Request for Medical Exception to COVID-19 Vaccination Requirement All Historical Document Collections
|
Approved without change |
Revision of a currently approved collection | 2022-04-25 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 2021-11-23 |