OMB control number
U.s. Direct Hire Request For A Medical Exception To The Covid-19 Vaccination Requirement
OMB 0412-0612 ยท AID.
OMB 0412-0612
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form AID 111-8 USDH REQUEST FOR A MEDICAL EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT | Form |
| Justification Statement - USDH Medical Exception Form_signed.pdf | Supplementary Document |
| Supporting Statement - USDH Medical Exception Form.pdf | Supporting Statement A |
 USDH REQUEST FOR A MEDICAL EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202110-0412-003 | New collection (Request for a new OMB Control Number) | 2021-10-28 | Approved without change |