COVID-19 Vaccine Attestation Form for Non-paid Employees

OMB 3060-1297

Latest Forms, Documents, and Supporting Material

Document Name
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All Historical Document Collections

202205-3060-022 Approved without change	Revision of a currently approved collection	2022-06-06
202111-3060-004 Approved without change	New collection (Request for a new OMB Control Number)	2021-11-19