Information Collection Request
Certification of Vaccination
ICR 202205-1225-001CF · OMB 3206-0277 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3206-0277 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form OPM 5062 Certification of Vaccination Common Form |
Form and Instruction | Modified | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 248838 |  Certification of Vaccination Common Form |
Form and Instruction | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | DOL/DM |
| OMB Control No | 3206-0277 |
| Type of Information Collection | RCF Recertification |
| Previous ICR Reference No | 202108-1225-002CF |
| Date Submitted to OIRA | 2022-05-24 |
| Requested Expiration Date | 1969-12-31 |