OMB control number
Certification of Vaccination
OMB 3170-0075 ยท CFPB.
OMB 3170-0075
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Certification of Vaccination | Form and Instruction |
 EO 13991.pdf | Supplementary Document |
| 3170-0075 supporting statement.docx | Supporting Statement A |
| 3170-0075 30-day FRN (published).pdf | Supplementary Document |
| 3170-0075 60-day FRN (published).pdf | Supplementary Document |
 Certification of Vaccination |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202201-3170-001 | Extension without change of a currently approved collection | 2022-02-09 | Approved without change | |
| 202109-3170-002 | New collection (Request for a new OMB Control Number) | 2021-09-14 | Approved with change |