OMB control number
COVID-19 Symptom Tracker for Students, Emotional Wellness Form for Students, and Student Vaccination Status and Test Consent Form Collection
OMB 1205-0548 · DOL/ETA.
OMB 1205-0548
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form ETA 9197 Student Vaccination Certification and Testing Consent | Form |
| Form 9197 071222 tracked.docx | Supplementary Document |
 Program Instruction Notice 21-12 Aligning with CDC IHE.pdf | Supplementary Document |
| Justification for Non-Material Change 071822.docx | Justification for No Material/Nonsubstantive Change |
| PIN 21-04 Resumption of Traditional Enrollment 10.15.21.pdf | Supplementary Document |
| 1205-0548 Supporting Statement 031422.docx | Supporting Statement A |
 Student Vaccination Certification and Testing Consent |
Form |
| COVID-19 Emotional Wellness -- Students |
Other-Attestation |
| COVID-19 Symptom Tracker -- Students |
Other-Attestation |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202207-1205-003 | No material or nonsubstantive change to a currently approved collection | 2022-07-18 | Withdrawn and continue | |
| 202202-1205-002 | Revision of a currently approved collection | 2022-03-15 | Approved without change | |
| 202109-1205-003 | New collection (Request for a new OMB Control Number) | 2021-10-18 | Approved without change |