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 EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT
Modified
20
0
0
Form and Instruction
DS-5158
REQUEST FOR A MEDICAL EXCEPTION TO THE COVID-19 VACCINATION REQUIREMENT
REQUEST FOR A RELIGIOUS ACCOMMODATION TO THE COVID-19 VACCINATION REQUIREMENT
Modified
80
1
0
Form and Instruction
DS-5159
Request for a Religious Accomodation to the COVID-19 Vaccination Requirement
Total burden requested under this ICR:
100
1
0
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The .gov means it's official.
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