OMB control number
EPA Medical Certification for Covid-19 Vaccination Exception Request.
OMB 2030-0053 · EPA/OMS.
OMB 2030-0053
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form TBD EPA Medical Certification for Covid-19 Vaccination Exception Request. | Form |
| 11-23-2021 - EPA ICR Supporting Statement - 2704ss01.docx | Supporting Statement A |
 11-23-2021 - EPA ICR Memo Emergency Request.pdf | Supplementary Document |
 EPA Medical Certification for Covid-19 Vaccination Exception Request. |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202111-2030-002 | New collection (Request for a new OMB Control Number) | 2021-11-23 | Approved with change |