No
material or nonsubstantive change to a currently approved
collection
No
Emergency
09/09/2021
10/05/2021
Requested
Previously Approved
03/31/2022
03/31/2022
31,000
31,000
2,583
2,583
0
0
The NIH now has a mandatory
vaccination requirement that affects several thousand staff. We
have been providing contractors, tenants, fellows and other staff
access to testing and vaccines during this pandemic. The
information to be collected is needed to ensure we have the
vaccination details for our staff to properly offer booster shots,
and to match original shot provided (if required). This information
is also critical so we can plan which vaccines we need to have on
hand for booster administration to staff. We are not yet sure if
the vaccines will be interchangeable. Knowing the manufacturer will
allow us to plan and administer in a proactive way, ensuring
compliance with EUA and medical requirements.
The NIH now has a
mandatory vaccination requirement that affects several thousand
staff. We have been providing contractors, tenants, fellows and
other staff access to testing and vaccines during this pandemic.
The information to be collected is needed to ensure we have the
vaccination details for our staff to properly offer booster shots,
and to match original shot provided (if required). This information
is also critical so we can plan which vaccines we need to have on
hand for booster administration to staff. We are not yet sure if
the vaccines will be interchangeable. Knowing the manufacturer will
allow us to plan and administer in a proactive way, ensuring
compliance with EUA and medical requirements. All this information
will flow into our electronic health information system and become
part of their OMS record, similar to the influenza program we also
administer. The dates included in this form will allow us to ensure
equitable scheduling in order with the timeframe in which the
original vaccination was administered. The information on the
boosters is that they will be due 8 months after initial dose
series completion. Without this information we cannot schedule in
an equitable manner for those vaccinated within the community, even
if they are subject to the mandatory requirements and work on site
daily. We are including a check box for medical or religious
declination and an uploaded signature page, consistent with the
mandatory policy mirroring the one we currently have in place for
influenza.
EO: EO
13991 Name/Subject of EO: Safer Federal Workforce Task Force
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.