layout table

View RCF  - Agency Submission

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202206-3038-001CF
Received in OIRA 05/31/2025
CFTC
3206-0277 202202-3206-002
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Title: Certification of Vaccination Form
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RCF New
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The CFTC makes this self-attest form available to visitors and contractors who access the CFTC headquarters, local and regional office buildings--where events take place, work needs to be performed, and/or agency services are offered.
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EO: EO 13991 Name/Subject of EO: Protecting the Federal Workforce and Requiring Mask Wearing
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 $0
Agency Contact: Thuy Dinh 202 418-5128 [email protected]

table that charts list of ICs
IC Title Status Responses Hours Dollars Document Type Form No. Form Name

table that charts list of burden
  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 13,200 0 0 13,200 0 0
Annual Time Burden (Hours) 440 0 0 440 0 0
Annual Cost Burden (Dollars) 11,883 0 0 11,883 0 0