View RCF  - OIRA Conclusion

202108-3141-002CF
Active 02/28/2022
NIGC
3206-0277 202108-3206-001
Certification of Vaccine Form (NIGC)
RCF New
 Approved without change   08/20/2021
Retrieve Notice of Action (NOA) 08/20/2021
The NIGC will use this form to prevent the spread of COVID-19 and to protect the health and safety of all Federal employees, onsite contractors, visitors to Federal buildings or Federally controlled indoor workspaces, and other individuals interacting with the Federal workforce.
EO: EO 13991 Name/Subject of EO: Protecting the Federal Workforce and Requiring Mask-Wearing
EO: EO 12196 Name/Subject of EO: Occupational Safety and Health Program for Federal Employees
US Code: 5 USC Chapters 11 and 79
 
Tim Osumi 202 632-7054 tim_osumi@nigc.gov

IC Title Status Responses Hours Dollars Document Type Form No. Form Name

  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 100 0 0 100 0 0
Annual Time Burden (Hours) 3 0 0 3 0 0
Annual Cost Burden (Dollars) 81 0 0 81 0 0

Yes
Miscellaneous Actions
No
The NIGC will use this form to prevent the spread of COVID-19 and to protect the health and safety of all Federal employees, onsite contractors, visitors to Federal Buildings or Federally controlled indoor workspaces, and other individuals interacting with the Federal workforce.