PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Request for a Medical Exemption or Delay to the COVID-19 Vaccination Requirement
New
180000
15000
405000
Form and Instruction
DD 3176
Request for a Medical Exemption or Delay to the COVID-19 Vaccination Requirement
Total burden requested under this ICR:
180000
15000
405000
To view an IC, click on IC Title
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The .gov means it's official.
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