The Bureau will use this 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.
EO: EO 13991 Name/Subject of EO: Protecting the Federal Workforce and Requiring Mask-Wearing
$0
Anthony May 202 502-6458 anthony.may@ferc.gov
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
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
1,500
0
0
1,500
0
0
Annual Time Burden (Hours)
50
0
0
50
0
0
Annual Cost Burden (Dollars)
1,218
0
0
1,218
0
0
Yes
Miscellaneous Actions
No
The Bureau is not making any program changes or adjustments under our request to use the "Certification of Vaccination Common Form". The response and hourly burden requested reflects the Bureau's projected annual usage of the common form.