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 and Instruction DS-2053 Medical Examination for Immigrant or Refugee Applicant (1991 TI)
Form and Instruction DS-2054 Medical Examination for Immigrant or Refugee Applicant (2007 TI)
Form and Instruction DS-3024 Chest X-Ray and Classification Worksheet (1991TI)
Form and Instruction DS-3025 Vaccination Documentation Worksheet
Form and Instruction DS-3026 Medical History and Physical Examination Worksheet
Form and Instruction DS-3030 Chest X-Ray and Classification Worksheet (2007 TI)
Form and Instruction Main Medical Form Medical Examination for Immigrant or Refugee Applicant (Canada)
Form and Instruction Medical Worksheet One Chest X-Ray and Classification Medical Worksheet One (Canada)
Form and Instruction Medical Worksheet Two Vaccination Documentation Medical Worksheet Two (Canada)
Form and Instruction Medical Worksheet Three Medical History and Physical Examination Medical Worksheet Three (Canada)
Form and Instruction DS-2053 Medical Examination for Immigrant or Refugee-1991 TI (11-2009)
Form and Instruction DS-2054 Medical Examination for Immigrant or Refugee Applicant - 2007 TI (11-2009)
Form and Instruction DS-3030 Chest X-Ray and Classification Worksheet - 2007 TI (11-2009)
Form and Instruction Main Medical Form Medical Examination for Immigrant or Refugee Applicant (Canada) (11-2009)
Total burden requested under this ICR: 630000 630000 283500000  
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