Request for a Medical Exception to the COVID-19 Vaccination Requirement

OMB 3240-0040

Latest Forms, Documents, and Supporting Material

Document Name
Federal Register 30 day Form 750 Medical Exception.pdf Supplementary Document
FR Notice Form 750.pdf Supplementary Document
SUPPORTING STATEMENT for Medical Exception Form 2-23-22.docx Supporting Statement A
SSS SORN FR Notice 1-10-22.docx Supplementary Document
Published FR Notice.pdf Supplementary Document
Emergency letter ICR.pdf Supplementary Document
SSS Form 750.pdf Supplementary Document
Requiring Coronavirus Disease 2019 Vaccination for Federal Employees