View RCF  - OIRA Conclusion

202108-3170-002CF 202108-3170-001CF
Historical Active 12/14/2021
CFPB
3206-0277 202108-3206-003
Certification of Vaccination (CFPB)
RCF Recertification
 Approved   12/14/2021
Retrieve Notice of Action (NOA) 12/14/2021
The Bureau 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
 $0
Anthony May 202 502-6458 anthony.may@ferc.gov

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certification of Vaccination Common Form 1,500 45 1,218 Form 3206-0277 Certification of Vaccination Common Form
Form and Instruction OPM 5062 Certification Vaccination Employee
Form and Instruction 3206-0277 Certification Vaccination PRA

  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 1,500 1,500 0 0 0 0
Annual Time Burden (Hours) 45 50 0 0 -5 0
Annual Cost Burden (Dollars) 1,218 1,218 0 0 0 0

Yes
Miscellaneous Actions
No