View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1405-0113	ICR Reference No: 202601-1405-002
Status: Active	Previous ICR Reference No: 202503-1405-005
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Medical Examination for Visa or Immigration Benefit
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/09/2026
	Date Received in OIRA: 01/08/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2029	36 Months From Approved	04/30/2026
Responses	477,236	0	331,236
Time Burden (Hours)	256,412	0	110,412
Cost Burden (Dollars)	115,385,400	0	49,685,400

Authorizing Statute(s): US Code: 8 USC 1201(d) Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1182(a)(1) Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1182 (d)(5) Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1522(b)(4) Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1202(f) Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1101 Name of Law: Immigration and Nationality Act

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	477,236	331,236	35,588	110,412
Annual Time Burden (Hours)	256,412	110,412	35,588	110,412
Annual Cost Burden (Dollars)	115,385,400	49,685,400	16,014,600	49,685,400

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: The Department estimates that approximately 696,000 aliens will be required to undergo a medical examination to receive an immigrant visa or immigration benefit each year. An exam is valid for up to six months, after which, an individual may need to submit to a second exam. However, most aliens seeking to enter the United States will only be required to undergo a single examination.

Annual Cost to Federal Government: $16,790,000

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Anabel Moreno-Mendez 571 720-4400

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.