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Federal Government
COVID-19 Vaccine Attestation Form for Non-paid Employees
OMB: 3060-1297
IC ID: 250337
OMB.report
FCC
OMB 3060-1297
ICR 202205-3060-022
IC 250337
( )
Documents and Forms
Document Name
Document Type
Form FCC Form 5644
Federal Government
Form and Instruction
FCC Form 5644 VACCINATION AND ATTESTATION DOCUMENTATION FORM
Vaccination Attestation and Documentation Form v1.pdf
Form and Instruction
Information Collection (IC) Details
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