OMB control number
Request for a Medical Exception to the COVID-19 Vaccination Requirement
OMB 3147-0028 · NTSB.
OMB 3147-0028
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Request for a Medical Exception to the COVID-19 Vaccination Requirement | Form and Instruction |
| NTSB Supporting Statement A for MEDICAL EXCEPTION REQUEST FORM (ROCIS).pdf | Supporting Statement A |
| NTSB FORM Request for Medical Exception with OMB number and May 2022 expiration date (ROCIS).pdf | Supplementary Document |
| NTSB FORM Request for Medical Exception.pdf | Supplementary Document |
| NTSB EMERGENCY JUSTIFICATION LETTER for Medical Exception Request Form.pdf | Supplementary Document |
 Request for a Medical Exception to the COVID-19 Vaccination Requirement |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202203-3147-001 | Extension without change of a currently approved collection | 2022-03-22 | Approved without change | |
| 202111-3147-001 | New collection (Request for a new OMB Control Number) | 2021-11-01 | Approved with change |