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Certification of Vaccination
ICR 202109-3170-002 · OMB 3170-0075 · Object 115856001.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Certification of Vaccination |
| Subject | Form for certifying vaccination status. OMB Control No. 3206-0277, expires February 5, 2022 |
| Author | United States Office of Personnel Management |
| File Created | 2021-11-01 |
| Conversion State | partial |