OMB.report

Federal forms, ICRs, and supporting documents

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 Name
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All Historical Document Collections

202203-3147-001 Approved without change	Extension without change of a currently approved collection	2022-03-22
202111-3147-001 Approved with change	New collection (Request for a new OMB Control Number)	2021-11-01