Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Medical Examination for Immigrant or Refugee Applicant	Modified	630000	630000	283500000	Form and Instruction	Medical Worksheet One
					Form and Instruction	Medical Worksheet Three
					Form and Instruction	Main Medical Form
					Form and Instruction	Medical Worksheet Two (5-2010)
					Form and Instruction	DS-2053
					Form and Instruction	DS-2054
					Form and Instruction	DS-3024
					Form and Instruction	DS-3025
					Form and Instruction	DS-3026
					Form and Instruction	DS-3030
					Form and Instruction	DS-5518-E
					Form and Instruction	DS-5518-E
					Form and Instruction	DS-5518-E
					Form and Instruction	DS-5518-E
Total burden requested under this ICR:		630000	630000	283500000
To view an IC, click on IC Title