Renewal Request Transmittal Letter

FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION
Office of the chair

Transmitted Via ROCIS portal
April 28, 2022
Mr. Josh Brammer
Associate Administrator
Office of Information and Regulatory Affairs
Office of Management and Budget
727 17th Street, NW
Washington, DC 20503
Re: Renewal of ICR FMSHRC-09-001
Dear Mr. Brammer:
The Federal Mine Safety and Health Review Commission (FMSHRC) is seeking renewal
of an Information Collection Request (ICR) entitled “Medical Exception Request Form” that was
originally approved by OIRA on November 30, 2021, for a period of 6 months.
In the event that mandatory COVID-19 vaccinations are reinstated for federal employees,
our agency is taking the requisite steps to renew the ICR so our employees may seek a legal
exception to the vaccination requirement due to a disability. 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. The agency will keep
confidential any medical information provided, subject to the applicable Rehabilitation Act
standards.
If you have any questions pertaining to the agency’s request form and PRA language,
please contact Kimberly Burch, Agency Privacy Officer, at 202-434-9913, or
[email protected] .
Sincerely,
Digitally signed by LESLIE

LESLIE BAYLESS BAYLESS
Date: 2022.04.28 12:11:20 -04'00'
Leslie C. Bayless,
Acting Senior Agency Official for Privacy

Enclosures:
Attachment A –Medical Request Form with FMSHRC Paperwork Reduction Act Language
Attachment B – Supporting Statement A