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NRC Form 798, Request for a Medical Exception to the COVID-19 Vaccination Requirement
NRC Form 798, “Request for a Medical Exception to the COVID-19 Vaccine Requirement"
OMB: 3150-0249
IC ID: 249896
OMB.report
NRC
OMB 3150-0249
ICR 202203-3150-004
IC 249896
( )
Documents and Forms
Document Name
Document Type
Form NRC Form 798
NRC Form 798, Request for a Medical Exception to the COVID-19 Vaccination Requirement
Form and Instruction
NRC Form 798 Request for a Medical Exception to the COVID-19 Vaccine
NRC 798 for OMB submission.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NRC Form 798, Request for a Medical Exception to the COVID-19 Vaccination Requirement
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NRC Form 798
Request for a Medical Exception to the COVID-19 Vaccine Requirement
NRC 798 for OMB submission.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Production
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
10
0
0
-40
0
50
Annual IC Time Burden (Hours)
5
0
0
-20
0
25
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.