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OMB Control No: 1115-0134	ICR Reference No: 198804-1115-016
Status: Historical Active	Previous ICR Reference No: 198705-1115-006
Agency/Subagency: DOJ/INS	Agency Tracking No:
Title: MEDICAL EXAMINATION OF ALIENS SEEKING ADJUSTMENT OF STATUS
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/24/1988
	Date Received in OIRA: 04/26/1988
Terms of Clearance: This collection is approved for use under OMB control number 1115-0134 through 12/31/88 by which time the INS shall resubmit an information request that contains a detailed assessment of the status of the program as well as a full description of any concerns that may have arisen on the use of the form. The INS should also reassess the burden associated with this collection, and include the time necessary to travel to a designated surgeon, average waiting time, average examination time in the estimate. INS should provide a detailed explaination of the methodology used to arrive at the estimate. If INS' resubmission does not address these concerns, OMB will consider other actions consistent with the Paperwork Reduction Act of 1980.

Abstract: P.L. 99-603 REQUIRES SPECIFIC LANGUAGE REGARDING THE MEDICAL EXAMINATI REQUIRED OF APPLICANTS WHO APPLY FOR TEMPORARY RESIDENCE STATUS.

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
MEDICAL EXAMINATION OF ALIENS SEEKING ADJUSTMENT OF STATUS	I-693

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,500,000	4,113,500	-2,613,500
Annual Time Burden (Hours)	750,000	2,056,750	-1,306,750
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

View ICR - OIRA Conclusion