Justification for Non-Substantive Change Request

3060-1295 Explanation of Non-Substantive Changes for Medical Exemption Form_12.6.21.docx

Request for a Medical Exception to the COVID-19 Vaccination Requirement

Justification for Non-Substantive Change Request

OMB: 3060-1295

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Federal Communications Commission



Explanation of Non-Substantive Changes to OMB Control Number: 3060-1295:



  • FCC Form 5643



Purpose of this Submission: This submission is being made for proposed non-substantive changes to an existing information collection pursuant to 44 U.S.C. § 3507. This submission seeks to modify FCC Form 5643 to correct a non-substantive typographical error.


Summary of Proposed Changes to the FCC Form 5643:


  • Form Number: The Form Number was corrected to read “FCC-5643” instead of the erroneous “FCC-5634.”

  • There are no changes in the burdens and no costs are associated with this information collection.





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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCHANGES TO FORM 499-A
AuthorDidi
File Modified0000-00-00
File Created2021-12-08

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