View Information Collection (IC)

View Information Collection (IC)

Medical Examination for Immigrant or Refugee Applicant
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DS-3025 Vaccination Documentation Worksheet DS 3025 Paper Form (7-2014).docx No   Fillable Printable
Form and Instruction DS-3026 Medical History and Physical Examination Worksheet DS 3026 Paper Form (7-2014).docx No   Fillable Printable
Form and Instruction DS-2053 Medical Examination for Immigrant or Refugee Applicant DS-2053 Paper Form (7-2014).docx No   Fillable Printable
Form and Instruction DS-2054 Medical Examination for Immigrant or Refugee Applicant DS-2054 Paper Form (7-2014).docx No   Fillable Printable
Form and Instruction DS-3024 Chest X-Ray and Classification Worksheet DS-3024 Paper Form (1991 x-ray) (7-2014).docx No   Fillable Printable
Form and Instruction DS-3030 Tuberculosis Worksheet DS-3030 Paper Form (7-2014).docx No   Fillable Printable

Health Public Health Monitoring

SORN Visa Records, State-39  60 FR 148

660,000 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 660,000 0 0 0 0 660,000
Annual IC Time Burden (Hours) 660,000 0 0 0 0 660,000
Annual IC Cost Burden (Dollars) 290,250,000 0 0 0 0 290,250,000

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.