OMB control number
Request for a Medical Exemption to the COVID-19 Vaccination Requirement
OMB 0503-0027 · USDA/AgSEC.
OMB 0503-0027
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Request for a Medical Exemption to the COVID -19 Vaccination Requirement | Form and Instruction |
 SuptStmt 0503-0027.docx | Supporting Statement A |
| opm-sorn-govt-10-employee-medical-file-systems-records (1).pdf | Supplementary Document |
| Federal Register, Volume 86 Issue 213 (Monday, November 8, 2021).html | Supplementary Document |
 Request for a Medical Exemption to the COVID -19 Vaccination Requirement |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202204-0503-001 | Extension without change of a currently approved collection | 2022-06-24 | ||
| 202111-0503-001 | New collection (Request for a new OMB Control Number) | 2021-12-20 | Approved with change |