Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
REQUEST FOR A MEDICAL EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT Modified 20 0 0 Form and Instruction DS-5158
REQUEST FOR A RELIGIOUS ACCOMMODATION TO THE COVID-19 VACCINATION REQUIREMENT Modified 80 1 0 Form and Instruction DS-5159
Total burden requested under this ICR: 100 1 0  
To view an IC, click on IC Title