202205-1652-001CF
RCF
OMB: 3206-0277
Array
(
[refNbr] => 202205-1652-001CF
[obm] => 3206-0277
[icr] => 202202-3206-002
[status] => Active
[agency] => DHS/TSA
[title] => Certification of Vaccination
[typeRCF] => RCF Recertification
[oiraAction] => Approved
[oiraNOA] => 421430
[termsOfClearance] =>
[previousRCF] => 202201-1652-002CF
[agencyTrackingNo] =>
[conclusionDate] => 2022-05-24
[dateReceived] => 2022-05-24
)
Document
View RCF
- OIRA Conclusion
| 202205-1652-001CF |
202201-1652-002CF |
|
Active
|
05/31/2025 |
| DHS/TSA |
|
| 3206-0277 |
202202-3206-002 |
| Certification of Vaccination |
|
RCF Recertification
|
| Approved |
05/24/2022
|
|
Retrieve Notice of Action (NOA)
|
05/24/2022
|
|
|
|
TSA compliance with Safer Federal Workforce Task Force COVID-19 Workplace Safety Guidelines - Visitors
|
|
None
|
|
|
Christina Walsh 571 227-2062 christina.walsh@tsa.dhs.gov
|
|
| IC Title |
Status |
Responses |
Hours |
Dollars |
Document Type |
Form No. |
Form Name |
|
Certification of Vaccination Common Form
|
|
8,000 |
240 |
7,202 |
Form and Instruction |
OPM 5062 |
Certification Vaccination Employee |
| Form and Instruction |
CV2 |
Certification of Vaccination Common Form |
| |
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 |
8,000 |
8,000 |
0 |
0 |
0 |
0 |
| Annual Time Burden (Hours) |
240 |
267 |
0 |
0 |
-27 |
0 |
| Annual Cost Burden (Dollars) |
7,202 |
6,496 |
0 |
0 |
706 |
0 |
|
Yes
|
|
Miscellaneous Actions
|
|
No
|
|
|
|
|
|
|