202108-3064-001CF
RCF
OMB: 3206-0277
Array
(
    [refNbr] => 202108-3064-001CF
    [obm] => 3206-0277
    [icr] => 202108-3206-001
    [status] => Received in OIRA
    [agency] => FDIC
    [title] => Certification Vaccination Common Form - Visitors and Contractors
    [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
		
        
            | 
            
                
                    | 202108-3064-001CF |  |  
                    | Received in OIRA | 02/28/2022 |  
                    | FDIC |  |  
                    | 3206-0277 | 202108-3206-001 |  
                
                    | Certification Vaccination Common Form - Visitors and Contractors |  
    
         
             | Certification Vaccination Common Form to be filled out by visitors and contractors prior to entering into the FDIC's facilities. |  
    
			
				| None |  
    
        |  |  
        | Jennifer Jones 202 551-5776 [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 | 800 | 0 | 0 | 800 | 0 | 0 |  
						| Annual Time Burden (Hours) | 27 | 0 | 0 | 27 | 0 | 0 |  
						| Annual Cost Burden (Dollars) | 650 | 0 | 0 | 650 | 0 | 0 |  
					
						| Yes |  
						| Miscellaneous Actions |  
						| No |  
						|  |  
						| Certification Vaccination Common Form to be filled out by visitors and contractors prior to entering into the FDIC's facilities. |  
 |  |