OMB control number
Request for a Medical Exception to the COVID-19 Vaccine Requirement
OMB 1557-0352 · TREAS/OCC.
OMB 1557-0352
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Medical Exception to COVID Vaccination Requirement | Form |
| Physicians | Form |
| Medical Exception to COVID Vaccination Requirement | Form |
| Job Applicants | Form |
 1557-0352 Vaccine Medical Exception Supporting Statement 3-23-22.docx | Supporting Statement A |
 Physicians |
Form |
| Physicians |
Form |
| Job Applicants |
Form |
| Job Applicants |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202203-1557-005 | Extension without change of a currently approved collection | 2022-03-29 | Approved without change | |
| 202110-1557-003 | New collection (Request for a new OMB Control Number) | 2021-10-29 | Approved without change |