OMB control number
Request for Medical and Religious Exception to the COVID-19 Vaccination Requirement
OMB 3124-0016 · MSPB.
OMB 3124-0016
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Request for Medical and Religious Exception to the COVID-19 Vaccination Requirement | Form and Instruction |
| MSPB Emergency Clearance Request for Medical and Religious Exception Form 83-I (Signed).pdf | Supplementary Document |
| MSPBEM~3.PDF | Supplementary Document |
| MSPBEM~2.PDF | Supporting Statement A |
 Request for Medical and Religious Exception to the COVID-19 Vaccination Requirement |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202201-3124-001 | New collection (Request for a new OMB Control Number) | 2022-01-06 | Approved without change |