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Certification of Vaccination

ICR 202109-2700-001 · OMB 2700-0186 · Object 114691000.

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Document Metadata
File Typeapplication/octet-stream
File TitleCertification of Vaccination
SubjectForm for certifying vaccination status of Federal employees
AuthorUnited States Office of Personnel Management
File Modified0000-00-00
File Created2021-09-09
Conversion Statefailed_conversion