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Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary

IC 249434 under ICR 202211-0920-014 · OMB 0920-1317.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary 0920-1317
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CDC Form 57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary COVIDVax.HCP.FORM_September2021_FINAL.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

12,600 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 655,200 0 0 0 0 655,200
Annual IC Time Burden (Hours) 982,800 0 0 0 0 982,800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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