Regulatory Collection Filing
Certification of Vaccination
RCF 202108-1205-002CF · Host ICR 202108-3206-003 · OMB 3206-0277
RCF Summary
Request for correction metadata| Host OMB Control No. | 3206-0277 |
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| Host ICR Reference No. | 202108-3206-003 |
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| Agency/Subagency | DOL/ETA |
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| Status | Received in OIRA |
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| Type of RCF | RCF New |
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| OIRA Conclusion Action | View RCF focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent; |
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| Date Received in OIRA | 1969-12-31 |
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| Conclusion Date | 1969-12-31 |
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| Related Links | OMB 3206-0277 · ICR 202108-3206-003 |
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RCF Details
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View RCF
- Agency Submission
Reginfo record details
Reginfo record details
| 202108-1205-002CF |
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Received in OIRA
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02/28/2022 |
| DOL/ETA |
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| 3206-0277 |
202108-3206-003 |
Reginfo record details
| Title: Certification of Vaccination |
Reginfo record details
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RCF New
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Reginfo record details
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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.
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Reginfo record details
EO: EO 13991 Name/Subject of EO: Protecting the Federal Workforce and Requiring Mask-Wearing
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Reginfo record details
| $0
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Agency Contact:
Mara Blumenthal 202 693-8538 [email protected]
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table that charts list of ICs
| IC Title |
Status |
Responses |
Hours |
Dollars |
Document Type |
Form No. |
Form Name |
table that charts list of burden
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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 |
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Yes
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Miscellaneous Actions
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No
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The burden requested reflects ETA's projected usage of the common form for the Job Corps. contractors.
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