OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Certification of Vaccination

IC 248958 under ICR 202108-1910-002 · OMB 1910-5191.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Certification of Vaccination
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DOE F 231.2 Certification of Vaccination DOE Onsite Support Service Contractor Employee DOE F 531 Certification of Vaccination Contractors and Visitors 8-25 330pm.pdf Yes Yes Fillable Fileable Signable
Form and Instruction DOE F 231.2 Certification of Vaccination DOE Onsite Support Service Contractor Employee (Web Version) DOE F 231 Final Version 8-25 330pm.docx Yes Yes Fillable Fileable Signable

General Government Executive Functions

DOE-33, Personnel Medical Records  74 FR 993

15,000 0
   
Individuals or Households
 
   99 %

  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 15,000 15,000 0 0 0 0
Annual IC Time Burden (Hours) 2,500 2,500 0 0 0 0
Annual IC Cost Burden (Dollars) 145,475 145,475 0 0 0 0

Title Document Date Uploaded
Emergency DOE PRA Memo to Sharon Block 20210819 Emergency DOE PRA Memo to Sharon Block - OMB (Final).pdf 08/19/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.