202108-3060-001CF
RCF
OMB: 3206-0277
Array
(
[refNbr] => 202108-3060-001CF
[obm] => 3206-0277
[icr] => 202108-3206-003
[status] => Active
[agency] => FCC
[title] => Certification of Vaccination
[typeRCF] => RCF New
[oiraAction] => Approved without change
[oiraNOA] => 356580
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] =>
[conclusionDate] => 2021-08-26
[dateReceived] => 2021-08-26
)
Document
View RCF
- OIRA Conclusion
| 202108-3060-001CF |
|
|
Active
|
02/28/2022 |
| FCC |
|
| 3206-0277 |
202108-3206-003 |
| Certification of Vaccination |
|
RCF New
|
| Approved without change |
08/26/2021
|
|
Retrieve Notice of Action (NOA)
|
08/26/2021
|
|
|
|
Vaccination Form for use by contractors and visitors to the Federal Communications Commission.
|
|
None
|
|
|
Cathy Williams 202 418-2918 [email protected]
|
|
| IC Title |
Status |
Responses |
Hours |
Dollars |
Document Type |
Form No. |
Form Name |
|
Certification of Vaccination Common Form
|
|
920 |
31 |
747 |
Form |
3206-0277 |
Certification of Vaccination Common Form |
| Form and Instruction |
OPM 5062 |
Certification Vaccination Employee |
| Form and Instruction |
3206-0277 |
Certification Vaccination PRA |
| |
Total Approved |
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 |
920 |
0 |
0 |
920 |
0 |
0 |
| Annual Time Burden (Hours) |
31 |
0 |
0 |
31 |
0 |
0 |
| Annual Cost Burden (Dollars) |
747 |
0 |
0 |
747 |
0 |
0 |
|
Yes
|
|
Miscellaneous Actions
|
|
No
|
|
|
|
The Federal Communications Commission reports 920 responses (vaccination certifications), 31 burden hours and cost of $747 for this collection.
|
|
|