COVID-19 Vaccine Screening and Immunization Documentation

Documents and Forms

Document Name Document Type
Form 207 COVID-19 Vaccine Screening and Immunization Documentation Form and Instruction
207 COVID-19 Vaccine Screening and Immunization Documentatio DHA 207.pdf Form and Instruction
207 COVID-19 Vaccine Screening and Immunization Documentatio DHA 207.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	COVID-19 Vaccine Screening and Immunization Documentation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	207	COVID-19 Vaccine Screening and Immunization Documentation	DHA 207.pdf		No		Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,000,000	0	4,000,000
Annual IC Time Burden (Hours)	133,333	-533,334	666,667
Annual IC Cost Burden (Dollars)	4,840,000	0	4,840,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.