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
New
110412
0
0
Form
DS-2054
Report of Medical Examination by Panel Physician
Form
DS-3025
Vaccination Documentation
Form
DS-3026
Medical History and Physical Examination Worksheet
Form
DS-3030
Tuberculosis Worksheet
Medical Examination for Immigrant or Refugee Applicant
Unchanged
110412
110412
49685400
Form and Instruction
DS-3025
Vaccination Documentation Worksheet
Form and Instruction
DS-3026
Medical History and Physical Examination Worksheet
Form and Instruction
DS-2054
Medical Examination for Immigrant or Refugee Applicant
Form and Instruction
DS-3030
Tuberculosis Worksheet
Total burden requested under this ICR:
220824
110412
49685400
To view an IC, click on IC Title