OMB.report

Federal forms, ICRs, and supporting documents

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 Name
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All Historical Document Collections

202204-0503-001	Extension without change of a currently approved collection	2022-06-24
202111-0503-001 Approved with change	New collection (Request for a new OMB Control Number)	2021-12-20