layout table

View RCF  - OIRA Conclusion

Reginfo record details
Reginfo record details
202108-3209-002CF 202108-3209-001CF
Active 02/28/2022
OGE
3206-0277 202108-3206-003
Reginfo record details
Title: Certification of Vaccination
Reginfo record details
RCF Recertification
 Approved   08/26/2021
Retrieve Notice of Action (NOA) 08/26/2021
Reginfo record details
The agency has been directed to ask about the vaccination status of onsite contractors and visitors. Onsite contractors and visitors must sign an attestation confirming their vaccine status. They must show the attestation before being allowed access to the office space and upon request while in agency-controlled space.
Reginfo record details
None
Reginfo record details
 $0
Agency Contact: Jennifer Matis 202 482-9216 [email protected]

table that charts list of ICs
IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certification of Vaccination Common Form 100 3 81 Form 3206-0277 Certification of Vaccination Common Form
Form and Instruction OPM 5062 Certification Vaccination Employee
Form and Instruction 3206-0277 Certification Vaccination PRA

table that charts list of burden
  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 100 100 0 0 0 0
Annual Time Burden (Hours) 3 3 0 0 0 0
Annual Cost Burden (Dollars) 81 81 0 0 0 0