OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Smallpox Vaccine Injury Compensation Program

OMB 0915-0282 · HHS/HSA.

OMB 0915-0282

Latest Forms, Documents, and Supporting Material

Document Name
Form request form Smallpox Vaccine Injury Compensation Program Form
Form certification Smallpox Vaccine Injury Compensation Program Certification form Form
smallpox declaration.pdf Supplementary Document
smallpox injury table.pdf Supplementary Document
ss 0282 2007.doc Supporting Statement A
Smallpox Vaccine Injury Compensation Program Form
Smallpox Vaccine Injury Compensation Program Certification form Form

All Historical Document Collections

200708-0915-003 Approved without change	Extension without change of a currently approved collection	2007-08-15
200404-0915-001 Approved with change	Extension without change of a currently approved collection	2004-04-22
200312-0915-001 Approved with change	New collection (Request for a new OMB Control Number)	2003-12-08