Request For A Medical Exception To The Covid-19 Vaccination Requirement

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

OMB: 1902-0320

IC ID: 250289

Information Collection (IC) Details

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REQUEST FOR A MEDICAL EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT
 
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 1000 Request for a Medical Exception to the COVID-19 Vaccination Requirement FERC Form No. 1000_Renewal.docx Yes Yes Fillable Fileable Signable

Workforce Management Worker Safety

FERC SORN-24  86 FR 64923

24 0
   
Federal Government
 
   0 %

  Requested 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 24 0 0 0 0 24
Annual IC Time Burden (Hours) 12 0 0 0 0 12
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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