View RCF  - OIRA Conclusion

202205-2590-001CF 202108-2590-002CF
Active 05/31/2025
FHFA
3206-0277 202202-3206-002
FHFA Certification of Vaccination
RCF Recertification
 Approved   05/24/2022
Retrieve Notice of Action (NOA) 05/24/2022
OIRA authorized any Agency to begin using the Certification of Vaccination Common Form (OMB No. 3206-0277) automatically. That information collection was established in order to promote the safety of Federal buildings, the Federal workforce, and others on site at agency facilities consistent with the COVID-19 Workplace Safety: Agency Model Safety Principles established by the Safer Federal Workforce Task Force and guidance from the Centers for Disease Control and Prevention and the Occupational Safety and Health Administration. Specifically, this information will be used by FHFA staff charged with implementing and enforcing workplace safety protocols.
EO: EO 13991 Name/Subject of EO: Protecting the Federal Workforce and Requiring Mask-Wearing
 $1,612
Angella Supervielle 202 649-3973 angella.supervielle@fhfa.gov

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certification of Vaccination Common Form 3,600 108 3,241 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 3,600 3,600 0 0 0 0
Annual Time Burden (Hours) 108 108 0 0 0 0
Annual Cost Burden (Dollars) 3,241 2,923 0 0 318 0

Yes
Changing Regulations
No