Information Collection
Certification of Vaccination Common Form
IC 248925 under ICR 202205-3316-001CF · 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⚠️ Notice: This information collection may be referencing outdated material.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 5062Certification of Vaccination Common Form |
Form and Instruction |
OPM 5062 Certification Vaccination EmployeeCertificationVaccinationEmployeesFinal.pdf | Form and Instruction |
CV2 Certification of Vaccination Common FormCertificationofVaccinationCommonFormredline (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 |