Vaccination Documentation for Prospective New Employees

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Emergency PRA Approval Cover Letter for COVID-19 Documentation from PROSPECTIVE NEW EMPLOYEES v2_5.25.22 signed.pdf	Supplementary Document	Uploaded 2022-05-26	Repair queued
Emergency PRA Supporting Statement for COVID documentation for prospective new employees_5.25.22.docx	Supporting Statement A	Uploaded 2022-05-25	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
253872	Individuals or Households	Other-COVID-19 Compliance	New

ICR Details

OMB Control No:	ICR Reference No: 202205-3060-020
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: FCC	Agency Tracking No: OMD-IO
Title: Vaccination Documentation for Prospective New Employees
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 06/03/2022
Date Submitted to OIRA: 05/26/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	6 Months From Approved
Responses	200	0
Time Burden (Hours)	50	0
Cost Burden (Dollars)	0	0

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Abstract: To ensure and maintain the safety of all building occupants, the FCC is requiring prospective new employees who have been given a tentative job offer to inform the FCC of their vaccination status, including submitting proof of COVID-19 vaccination documentation, prior to entering on duty. There is no official form associated with this information collection.

Emergency Justfication: The Federal Communications Commission (Commission or FCC) requests Office of Management and Budget (OMB) approval to submit the information collection described herein under the “emergency processing” provisions of the Paperwork Reduction Act (PRA) of 1995, 5 CFR 1320.13. The Commission is requesting clearance for a new information collection entitled 3060-[XXXX], Vaccination Documentation for Prospective New Employees. For the reasons explained below, we respectfully request OMB approval for this new information collection at the earliest possible time. For some special categories of individuals, such as potential future employees, the FCC is required to obtain OMB approval prior to collecting such information. That is the subject of this request for emergency processing. Through this proposed collection, the FCC plans to require prospective future employees to submit documentation showing proof of COVID-19 vaccination after a tentative job offer has been extended and while a background security check of the individual is being performed.

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Authorizing Statute(s): EO: EO 14043 Name/Subject of EO: Requiring Coronavirus Disease 2019 Vaccination for Federal Employees
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Individuals or Households

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	200	0	0	200	0	0
Annual Time Burden (Hours)	50	0	0	50	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection resulting in a program change/increase of 200 respondents, 200 responses, and 50 total estimated burden hours.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/26/2022

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