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Form 3206-0277 Certification of Vaccination Common Form
Certification of COVID-19 Vaccination Status
CertificationVaccinationPRAv6
Certification of Vaccination Common Form
OMB: 3206-0277
OMB.report
OPM
OMB 3206-0277
ICR 202108-3206-003
IC 248940
Form 3206-0277 Certification of Vaccination Common Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3206-0277 can be found here:
2024-11-26 - RCF New
2022-06-08 - RCF New
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File Type
application/pdf
File Title
Certification of Vaccination
Subject
Form for certifying vaccination status. OMB Control No. 3206-0277, expires February 5, 2022
Author
United States Office of Personnel Management
File Modified
2021-08-05
File Created
2021-08-05
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