View RCF  - OIRA Conclusion

202110-1557-001CF
Active 02/28/2022
TREAS/OCC
3206-0277 202108-3206-003
Certification of Vaccination
RCF New
 Approved without change   10/04/2021
Retrieve Notice of Action (NOA) 10/04/2021
The purpose of this form is to take steps to prevent the spread of COVID-19, to protect the health and safety of all Federal employees, onsite contractors, visitors to Federal buildings or Federally controlled indoor workspaces, and other individuals interacting with the Federal workforce.
US Code: 12 USC 1 et seq. Name of Law: The National Bank Act
 
Kristin Merritt 202 649-5585

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certification of Vaccination Common Form 2,320 77 1,884 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 2,320 0 0 2,320 0 0
Annual Time Burden (Hours) 77 0 0 77 0 0
Annual Cost Burden (Dollars) 1,884 0 0 1,884 0 0

Yes
Miscellaneous Actions
No
The purpose of this form is to take steps to prevent the spread of COVID-19, to protect the health and safety of all Federal employees, onsite contractors, visitors to Federal buildings or Federally controlled indoor workspaces, and other individuals interacting with the Federal workforce.