The President's Safer Federal Workforce Taskforce directed agencies to ask about the COVID-19 vaccination status of onsite contractors and visitors to federal buildings. The Federal Trade Commission (FTC) will use this common form to prevent the spread of COVID-19 and 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. The FTC specifically plans to sponsor disclosures on the form by contractors and visitors to FTC facilities. These individuals must show the completed form before being allowed access to the office space and upon request while in agency-controlled space. The information collected on this form is not being collected, maintained, or retained by the FTC.