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 Name
Physicians Form
Job Applicants Form
1557-0352 Vaccine Medical Exception Supporting Statement 3-23-22.docx Supporting Statement A
Physicians Form
Job Applicants Form

All Historical Document Collections

202203-1557-005 Approved without change	Extension without change of a currently approved collection	2022-03-29
202110-1557-003 Approved without change	New collection (Request for a new OMB Control Number)	2021-10-29