Information Collection

Certification of Vaccination Common Form

IC 248922 under ICR 202205-3064-001CF · OMB 3206-0277.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0277 can be found here:

Documents and Forms

Document Name Document Type
Form OPM 5062 Certification of Vaccination Common Form Form and Instruction
OPM 5062 Certification Vaccination Employee CertificationVaccinationEmployeesFinal.pdf Form and Instruction
CV2 Certification of Vaccination Common Form CertificationofVaccinationCommonFormredline (pb 5.23.22)final.docx Form and Instruction

Information Collection (IC) Details

IC Title	Certification of Vaccination Common Form
IC Status	Modified
Obligation to Respond	Voluntary