OMB control number
Certification of Vaccination
OMB 1910-5194 ยท DOE/DOEOA.
OMB 1910-5194
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DOE F 231.2 Certificate of Vaccination | Form and Instruction |
| Form DOE F 231.2 Certification of Vaccination | Form and Instruction |
 1910-5194 Supporting Statement- Final.docx | Supporting Statement A |
| 30-day FRN 6-21-22.pdf | Supplementary Document |
| 60-day FRN 3-17-22.pdf | Supplementary Document |
 Certification of Vaccination |
Form and Instruction |
| Certification of Vaccination |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202205-1910-006 | Extension without change of a currently approved collection | 2022-07-07 | ||
| 202112-1910-002 | New collection (Request for a new OMB Control Number) | 2021-12-28 | Approved without change |