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OMB Control No: 1405-0230	ICR Reference No: 202601-1405-003
Status: Received in OIRA	Previous ICR Reference No: 202207-1405-005
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Electronic Medical Examination for Visa or Immigration Benefit (eMedical)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 01/08/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2026
Responses	1,710,660	1,160,660
Time Burden (Hours)	1,130,330	580,330
Cost Burden (Dollars)	508,648,500	261,148,500

Authorizing Statute(s): US Code: 8 USC 1182(a)(1) Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1882 (d)(5) Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1202(f) Name of Law: Immigration and Nationality Act
   US Code: 42 USC 264
   US Code: 8 USC 1101 Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1201(d) Name of Law: Immigration and Nationality Act

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	1,710,660	1,160,660	-30,330	580,330
Annual Time Burden (Hours)	1,130,330	580,330	-30,330	580,330
Annual Cost Burden (Dollars)	508,648,500	261,148,500	-13,648,500	261,148,500

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: Miscellaneous Actions

Short Statement: As part of the M-MOU cost-share agreement, CDC pays Australia HA the United States’ portion of the maintenance costs associated with the eMedical system. An interagency agreement (IAA) between the Department and CDC stipulates that the Department will reimburse CDC $289,847.61 annually, for its share of the eMedical services through July 2027 (FY 2026).

Annual Cost to Federal Government: $289,847

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. Yes

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? Yes

Agency Contact: Anabel Moreno-Mendez 571 720-4400

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