View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3206-0277	ICR Reference No: 202205-0648-001CF
Status: Historical Active	Previous ICR Reference No: 202108-0648-002CF
Agency/Subagency: DOC/NOAA	Agency Tracking No:
Title: NOAA Certification of Vaccination Attestation Common Form (Contractors and Visitors)
Type of Information Collection: RCF Recertification	Common Form ICR:
Type of Review Request:
OIRA Conclusion Action: Approved	Conclusion Date: 03/19/2025
	Date Received in OIRA: 03/19/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/19/2025		05/31/2025
Responses	22,500	0	22,500
Time Burden (Hours)	675	0	675
Cost Burden (Dollars)	20,255	0	18,270

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	22,500	22,500	0
Annual Time Burden (Hours)	675	675	0
Annual Cost Burden (Dollars)	20,255	18,270	1,985

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $150

Does this IC contain surveys, censuses, or employ statistical methods?

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? No

Agency Contact: Adrienne Thomas 828 257-3148 adrienne.thomas@noaa.gov

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