202108-3064-002CF
RCF
OMB: 3206-0277
Array
(
[refNbr] => 202108-3064-002CF
[obm] => 3206-0277
[icr] => 202108-3206-003
[status] => Active
[agency] => FDIC
[title] => Certification Vaccination Common Form - Visitors and Contractors
[typeRCF] => RCF Recertification
[oiraAction] => Approved
[oiraNOA] => 357930
[termsOfClearance] =>
[previousRCF] => 202108-3064-001CF
[agencyTrackingNo] =>
[conclusionDate] => 2021-08-26
[dateReceived] => 2021-08-26
)
Document
View RCF
- OIRA Conclusion
202108-3064-002CF |
202108-3064-001CF |
Active
|
02/28/2022 |
FDIC |
|
3206-0277 |
202108-3206-003 |
Certification Vaccination Common Form - Visitors and Contractors |
RCF Recertification
|
Approved |
08/26/2021
|
Retrieve Notice of Action (NOA)
|
08/26/2021
|
|
Certification Vaccination Common Form to be filled out by visitors and contractors prior to entering into the FDIC's facilities.
|
None
|
|
Jennifer Jones 202 551-5776 jonesjen@sec.gov
|
|
IC Title |
Status |
Responses |
Hours |
Dollars |
Document Type |
Form No. |
Form Name |
Certification of Vaccination Common Form
|
|
800 |
24 |
650 |
Form |
3206-0277 |
Certification of Vaccination Common Form |
Form and Instruction |
OPM 5062 |
Certification Vaccination Employee |
Form and Instruction |
3206-0277 |
Certification Vaccination PRA |
|
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 |
800 |
800 |
0 |
0 |
0 |
0 |
Annual Time Burden (Hours) |
24 |
27 |
0 |
0 |
-3 |
0 |
Annual Cost Burden (Dollars) |
650 |
650 |
0 |
0 |
0 |
0 |
Yes
|
Miscellaneous Actions
|
No
|
|
|
|
|