Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medical Examination for Immigrant or Refugee Applicant Modified 630000 630000 283500000 Form DS-2053 Medical Examination for Immigrant or Refugee Applicant
Form DS-3024 Chest X-Ray and Classification Worksheet
Form DS-3025 Vaccination Documentation Worksheet
Form DS-3026 Medical History and Physical Examination Worksheet
Form DS-3025 Vaccination Documentation Worksheet
Form Canada Main Medical Form Medical Examination for Immigrant or Refugee Applicant
Form Canada Medical Worksheet One Chest X-ray and Classification, Medical Worksheet One
Form Canada Medical Worksheet Two Vaccination Documentation, Medical Worksheet Two
Form Canada Medical Worksheet Three Medical History and Physical Examination, Medical Worksheet Three
Total burden requested under this ICR: 630000 630000 283500000  
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