OMB control number

Certification of Vaccination

OMB 1910-5194 · DOE/DOEOA.

OMB 1910-5194

Latest Forms, Documents, and Supporting Material

Document Name
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

All Historical Document Collections

202205-1910-006	Extension without change of a currently approved collection	2022-07-07
202112-1910-002 Approved without change	New collection (Request for a new OMB Control Number)	2021-12-28