DRAFT SUPPORTING STATEMENT
FOR
NRC FORM 798
“REQUEST FOR A MEDICAL EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT”
(3150-XXXX)
NEW
Description of the Information Collection
Executive Order (EO) 14043, titled, “Requiring Coronavirus Disease 2019 Vaccination for Federal Employees,” requires all Federal employees, as defined in 5 U.S.C. § 2105, to be vaccinated against COVID-19, with exceptions only as required by law. Requests for "medical accommodation" or "medical exceptions" will be treated as requests for a disability accommodation and evaluated and decided under applicable Rehabilitation Act standards for reasonable accommodation absent undue hardship to the agency. An employee may also request a delay for complying with the vaccination requirement based on certain medical considerations that may not justify an exception under the Rehabilitation Act. The agency will be required to keep confidential any medical information provided, subject to the applicable Rehabilitation Act standards. Employees who receive an exception or a delay from the vaccination requirement would instead comply with alternative health and safety protocols.
The Nuclear Regulatory Commission (NRC) is requesting emergency review of NRC Form 798, which will be used to collect information from employees seeking a medical exception from the COVID-19 vaccination requirement. The information is needed before the expiration of the normal time limits under the Office of Management and Budget’s regulations at 5 CFR 1320 that implement the provisions of the Paperwork Reduction Act of 1995. Because of the nature of the public health emergency and the urgent need for the agency to meet the required deadline that all Federal employees be vaccinated except those approved for an exception as required by law, the NRC cannot reasonably comply with the normal clearance procedures because of a need for a swift response to allow for the collection of this information by November 1, 2021.
JUSTIFICATION
Need For the Collection of Information
Consistent with Executive Order 14043, of September 9, 2021, “Requiring Coronavirus Disease 2019 Vaccination for Federal Employees” and included within the Safer Federal Workforce Task Force Guidance mandating all Federal employees be vaccinated by November 22, 2021, the NRC has established specific safety protocols for individuals fully vaccinated and not fully vaccinated against coronavirus disease 2019 (COVID-19). Individuals who are not fully vaccinated against COVID-19 by November 22, 2021, or who choose not to provide this information will be required to comply with applicable OMB, OPM, and NRC guidance for individuals not fully vaccinated against COVID-19, which may include wearing masks regardless of the transmission rate in a given area, physical distancing, regular screening testing, and adhering to applicable travel requirements.
NRC employees may request an exception on the basis of a medical condition or circumstance. Exceptions will be granted in limited circumstances and only where legally required.
Agency Use and Practical Utility of Information
The NRC is seeking approval of NRC Form 798, “Request for a Medical Exception to the COVID-19 Vaccine Requirement” which will be completed by employees who seek a medical exception and their personal medical providers. The NRC Form 798 will be used by NRC staff and provided to employees to ensure they submit adequate information to support the exception request. This form will also ensure the information collected is consistent and minimizes the need to seek additional evidence. Rendered decisions should be in accordance with guidelines established by the Safer Federal Workforce Task Force Guidance.
The NRC will use the information submitted for the sole purpose of determining if a medical exception is legally warranted.
Reduction of Burden Through Information Technology
There are no legal obstacles to reducing the burden associated with this information collection. The NRC encourages respondents to use information technology when it would be beneficial to them.
The NRC has issued Guidance for Electronic Submissions to the NRC which provides direction for the electronic transmission and submittal of documents to the NRC. Electronic transmission and submittal of documents can be accomplished via the following avenues: the Electronic Information Exchange (EIE) process, which is available from the NRC's “Electronic Submittals” Web page, by Optical Storage Media (OSM) (e.g. CD-ROM, DVD), by facsimile or by e-mail. The NRC has developed a fillable, fileable form to collect the information. It is estimated that approximately 100% of the potential responses are filed electronically.
Effort to Identify Duplication and Use Similar Information
No sources of similar information are available. There is no duplication of requirements.
Effort to Reduce Small Business Burden
This information collection does not impose a significant economic impact on a substantial number of small businesses or entities.
Consequences to Federal Program or Policy Activities if the Collection Is Not Conducted or Is Conducted Less Frequently
The information will be required one-time; therefore, the frequency of the collection cannot be reduced. If the NRC did not collect the information, the agency would be unable to comply with EO 14043.
Circumstances Which Justify Variation from OMB Guidelines
Contrary to 5 CFR 1320.5(d)(2), in order to meet vaccination deadlines set by E.O. 14043, the information will need to be submitted in less than 30 days.
Consultations Outside the NRC
Emergency approval was received to waive the public notice requirement under the Paperwork Reduction Act.
Payment or Gift to Respondents
Not applicable.
Confidentiality of Information
Confidential and proprietary information is protected in accordance with NRC regulations at 10 CFR 9.17(a) and 10 CFR 2.390(b).
There is a Government-wide Privacy Act System of Records Notice for employee medical files. The System of Records Notice for NRC Form 798 is OPM/GOVT-10, Employee Medical File System of Records. OPM/GOVT-10 was published in 75 Fed. Reg. 35099 (June 21, 2010) with modifications published in 80 Fed. Reg. 74815 (Nov. 30, 2015) and on December 27, 2019 (84 FR 71536). OPM/GOVT-10 can be found under http://www.opm.gov/information-management/privacy-policy/sorn/opm-sorn-govt-10-employee-medical-file-systems-records.pdf. A privacy act statement is viewable as part of the process for requesting information using NRC Form 798 and has been included as part of the information collection instrument with this submission.
Justification for Sensitive Questions
The questions included on this form are consistent with OMB’s guidance for requesting a medical exception.
Estimated Burden and Burden Hour Cost
The NRC estimates that annually 50 requests will be received and that the burden to complete the form will be 0.5 hours per request. The total annual burden will 25 hours (50 requests x 0.5 hrs/request). The total cost of the collection will be $7200 (25 hours x $288/hour).
The $288 hourly rate used in the burden estimates is based on the Nuclear Regulatory Commission’s fee for hourly rates as noted in 10 CFR 170.20 “Average cost per professional staff-hour.” For more information on the basis of this rate, see the Revision of Fee Schedules; Fee Recovery for Fiscal Year 2021 (86 FR 32146, June 17, 2021).
Estimate of Other Additional Costs
There are no additional costs.
Estimated Annualized Cost to the Federal Government
The staff has developed estimates of annualized costs to the Federal Government related to the conduct of this collection of information. These estimates are based on staff experience and subject matter expertise and include the burden needed to review, analyze, and process the collected information and any relevant operational expenses. The NRC estimates that it will take 2 hours per form for NRC staff to review and process each request. For 50 forms, this will require 100 hours of NRC staff time (50 forms x 2 hours per form) at an estimated cost of $28,800 (100 hours x $288/hour).
Reasons for Change in Burden or Cost
The NRC staff anticipates receiving 50 requests for medical exceptions via the NRC Form 798, “Request for a Medical Exception to the COVID-19 Vaccine Requirement” resulting in 25 hours of burden to respondents.
Publication for Statistical Use
Not applicable.
Reason for Not Displaying the Expiration Date
The expiration date will be displayed.
Exceptions to the Certification Statement
There are no exceptions to the certification statement.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Benney, Kristen |
| File Modified | 0000-00-00 |
| File Created | 2021-10-26 |