Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Medical Examination for Immigrant or Refugee Applicant
Unchanged
660000
660000
290250000
Form and Instruction
DS-3025
Vaccination Documentation Worksheet
Form and Instruction
DS-3026
Medical History and Physical Examination Worksheet
Form and Instruction
DS-2053
Medical Examination for Immigrant or Refugee Applicant
Form and Instruction
DS-2054
Medical Examination for Immigrant or Refugee Applicant
Form and Instruction
DS-3024
Chest X-Ray and Classification Worksheet
Form and Instruction
DS-3030
Tuberculosis Worksheet
Total burden requested under this ICR:
660000
660000
290250000
To view an IC, click on IC Title