OMB control number
COVID-19 Vaccine Attestation Form for Non-paid Employees
OMB 3060-1297 · FCC.
OMB 3060-1297
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FCC Form 5644 Federal Government | Form and Instruction |
| Form FCC Form 5644 Individuals or Households | Form and Instruction |
 REGULAR PRA Supporting Statement for COVID attestation form for nonpaid employees REVISED_6_2022.docx | Supporting Statement A |
 Federal Government |
Form and Instruction |
| Individuals or Households |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202205-3060-022 | Revision of a currently approved collection | 2022-06-06 | Approved without change | |
| 202111-3060-004 | New collection (Request for a new OMB Control Number) | 2021-11-19 | Approved without change |