layout table

View RCF  - OIRA Conclusion

Reginfo record details
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202205-2590-001CF 202108-2590-002CF
Active 05/31/2025
FHFA
3206-0277 202202-3206-002
Reginfo record details
Title: FHFA Certification of Vaccination
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RCF Recertification
 Approved   05/24/2022
Retrieve Notice of Action (NOA) 05/24/2022
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OIRA authorized any Agency to begin using the Certification of Vaccination Common Form (OMB No. 3206-0277) automatically. That information collection was established in order to promote the safety of Federal buildings, the Federal workforce, and others on site at agency facilities consistent with the COVID-19 Workplace Safety: Agency Model Safety Principles established by the Safer Federal Workforce Task Force and guidance from the Centers for Disease Control and Prevention and the Occupational Safety and Health Administration. Specifically, this information will be used by FHFA staff charged with implementing and enforcing workplace safety protocols.
Reginfo record details
EO: EO 13991 Name/Subject of EO: Protecting the Federal Workforce and Requiring Mask-Wearing
Reginfo record details
 $1,612
Agency Contact: Angella Supervielle 202 649-3973 [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 3,600 108 3,241 Form and Instruction OPM 5062 Certification Vaccination Employee
Form and Instruction CV2 Certification of Vaccination Common Form

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 3,600 3,600 0 0 0 0
Annual Time Burden (Hours) 108 108 0 0 0 0
Annual Cost Burden (Dollars) 3,241 2,923 0 0 318 0