View RCF
- OIRA Conclusion
202205-3095-001CF |
202108-3095-001CF |
Active
|
05/31/2025 |
NARA |
|
3206-0277 |
202202-3206-002 |
Certification of Vaccination |
RCF Recertification
|
Approved |
05/24/2022
|
Retrieve Notice of Action (NOA)
|
05/24/2022
|
|
This is for contractors and visitors only
|
None
|
$0
|
Tamee Fechhelm 301-837-3204 tamee.fechhelm@nara.gov
|
|
IC Title |
Status |
Responses |
Hours |
Dollars |
Document Type |
Form No. |
Form Name |
Certification of Vaccination Common Form
|
|
1,000,000 |
30,000 |
900,200 |
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 |
1,000,000 |
1,000,000 |
0 |
0 |
0 |
0 |
Annual Time Burden (Hours) |
30,000 |
33,333 |
0 |
0 |
-3,333 |
0 |
Annual Cost Burden (Dollars) |
900,200 |
812,000 |
0 |
0 |
88,200 |
0 |
Yes
|
Miscellaneous Actions
|
No
|
|
|
|
|