View RCF  - OIRA Conclusion

202205-1902-001CF 202109-1902-003CF
Active 05/31/2025
FERC
3206-0277 202202-3206-002
Certification of Vaccination Status
RCF Recertification
 Approved   05/24/2022
Retrieve Notice of Action (NOA) 05/24/2022
The purpose of this information collection is to implement Administration guidance on safety protocols for Federal facilities and workplaces and to promote the safety of Federal buildings, the Federal workforce, and others on site at facilities of the Federal Energy Regulatory Commission (Commission). The respondents are visitors and contractors at Headquarters and Regional Offices of the Commission who must carry the completed form while present in a Commission facility, and disclose the completed form upon request by a Commission employee. The estimated number of forms to be processed during the next six months is based on the current occupancy restrictions in Commission facilities, current restrictions on the number of visitors in Commission facilities, and the maximum telework posture in which the Commission is operating at present.
None
 
Jean Sonneman 202 785-6577 jean_sonneman@blm.gov

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certification of Vaccination Common Form 488 15 439 Form and Instruction OPM 5062 Certification Vaccination Employee
Form and Instruction CV2 Certification of Vaccination Common Form

  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 488 488 0 0 0 0
Annual Time Burden (Hours) 15 16 0 0 -1 0
Annual Cost Burden (Dollars) 439 396 0 0 43 0

Yes
Miscellaneous Actions
No