Information Collection

Certification of Vaccination Common Form

IC 248933 under ICR 202205-3124-001CF · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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