202108-3041-001CF RCF OMB: 3206-0277
OMB.report
OMB 3206-0277
RCF 202108-3041-001CF
( RCF New )
Array
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[refNbr] => 202108-3041-001CF
[obm] => 3206-0277
[icr] => 202108-3206-001
[status] => Received in OIRA
[agency] => CPSC
[title] => CPSC Certification of Vaccination
[typeRCF] => RCF New
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[oiraNOA] => View RCF focusMeth
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] =>
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202108-3041-001CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 02/28/2022
Agency/Subagency: CPSCAgency Tracking No:
Host OMB Control No: 3206-0277Host ICR Reference No: 202108-3206-001
Title: CPSC Certification of Vaccination
Description of Agency Usage:
The purpose of this collection is to take steps to prevent the spread of COVID-19, to protect the health and safety of Federal employees, onsite contractors, and visitors and individuals interacting with the Federal workforce.
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Cynthia Gillham 301 504-7701 [email protected]
Common Form Information Collections (IC) in this RCF:
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
230
0
0
230
0
0
Annual Time Burden (Hours)
8
0
0
8
0
0
Annual Cost Burden (Dollars)
187
0
0
187
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Not applicable.