OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Smallpox Vaccine Injury Compensation Program

OMB 0915-0282 ยท HHS/HSA.

OMB 0915-0282

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form request form Smallpox Vaccine Injury Compensation ProgramForm
Form certification Smallpox Vaccine Injury Compensation Program Certification formForm
smallpox declaration.pdf Supplementary Document
smallpox injury table.pdf Supplementary Document
ss 0282 2007.docSupporting Statement A
Smallpox Vaccine Injury Compensation Program Form
Smallpox Vaccine Injury Compensation Program Certification form Form

All Historical Document Collections

Historical document collections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