202108-1205-002CF
RCF
OMB: 3206-0277
Array
(
[refNbr] => 202108-1205-002CF
[obm] => 3206-0277
[icr] => 202108-3206-003
[status] => Received in OIRA
[agency] => DOL/ETA
[title] => Certification of Vaccination
[typeRCF] => RCF New
[oiraAction] => View RCF focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent;
[oiraNOA] => View RCF focusMeth
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] =>
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
| 202108-1205-002CF |
|
|
Received in OIRA
|
02/28/2022 |
| DOL/ETA |
|
| 3206-0277 |
202108-3206-003 |
| Certification of Vaccination |
|
ETA will use this form to prevent the spread of COVID-19, and to protect the health and safety of all persons in DOL's Job Corps. Centers.
|
EO: EO 13991 Name/Subject of EO: Protecting the Federal Workforce and Requiring Mask-Wearing
|
| $0
|
Mara Blumenthal 202 693-8538 [email protected]
|
|
| IC Title |
Status |
Responses |
Hours |
Dollars |
Document Type |
Form No. |
Form Name |
| |
Total Request |
Previously Approved |
Change Due to New Statute |
Change Due to Agency Discretion |
Change Due to Adjustment in Estimate |
Change Due to Potential Violation of the PRA |
| Annual Number of Responses |
12,000 |
0 |
0 |
12,000 |
0 |
0 |
| Annual Time Burden (Hours) |
400 |
0 |
0 |
400 |
0 |
0 |
| Annual Cost Burden (Dollars) |
9,744 |
0 |
0 |
9,744 |
0 |
0 |
|
Yes
|
|
Miscellaneous Actions
|
|
No
|
|
|
|
The burden requested reflects ETA's projected usage of the common form for the Job Corps. contractors.
|
|
|