Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medical History and Examination for Foreign Service Modified 7814 7814 0 Form and Instruction DS-1622 Medical History and Examination for Foreign Service (For Children 11 Years and Under)
Form and Instruction DS-1843 Medical History and Examination for Foreign Service (For Individuals Age 12 and Over)
Total burden requested under this ICR: 7814 7814 0  
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