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Federal forms, ICRs, and supporting documents

Information Collection

Contractor Personnel and Visitor Certification of Vaccination

IC 248989 under ICR 202110-0704-012 · OMB 0704-0613.

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

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Contractor Personnel and Visitor Certification of Vaccination
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DD 3150 Contractor Personnel and Visitor Certification of Vaccination dd3150 draft 20220401.PDF Yes Yes Fillable Fileable

Defense and National Security Operational Defense

 

1,200,000 0
   
Individuals or Households
 
   90 %

  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 1,200,000 0 -2,300,000 0 0 3,500,000
Annual IC Time Burden (Hours) 40,000 0 -76,667 0 0 116,667
Annual IC Cost Burden (Dollars) 1,080,000 0 -2,070,000 0 0 3,150,000

Title Document Date Uploaded
60 Day FRN draft 0704-0613_60-Day FRN DD Form 3150.docx 12/16/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.