View RCF  - OIRA Conclusion

202109-3045-001CF
Active 05/31/2022
CNCS
3206-0277 202108-3206-003
Vaccination Attestation Form for Contractors
RCF New
 Approved without change   09/23/2021
Retrieve Notice of Action (NOA) 09/23/2021
AmeriCorps will require employees to complete and submit this form. AmeriCorps will require contractors and visitors to complete this form and produce it upon request.
None
 
Amy Borgstrom 202 606-6930 aborgstrom@cns.gov

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certification of Vaccination Common Form 800 27 650 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 800 0 0 800 0 0
Annual Time Burden (Hours) 27 0 0 27 0 0
Annual Cost Burden (Dollars) 650 0 0 650 0 0

Yes
Miscellaneous Actions
No
The burden has increased with the addition of 500 employees and 300 contractors/visitors to the RCF.