Application for Civil Surgeon Designation Registration

ICR 201009-1615-022

OMB: 1615-0114

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2010-09-29
IC Document Collections
ICR Details
1615-0114 201009-1615-022
Historical Active 201009-1615-020
DHS/USCIS
Application for Civil Surgeon Designation Registration
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/15/2010
Retrieve Notice of Action (NOA) 10/04/2010
  Inventory as of this Action Requested Previously Approved
07/31/2013 07/31/2013 07/31/2013
1,200 0 1,200
1,200 0 1,200
738,000 0 0

This information collection is required to determine whether a physician meets the statutory and regulatory requirement for civil surgeon designation.

US Code: 8 USC 1182 Name of Law: U.S. Code
  
None

1615-AB80 Final or interim final rulemaking 75 FR 58962 09/24/2010

No

1
IC Title Form No. Form Name
Application for Civil Surgeon Designation Registration

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,200 1,200 0 0 0 0
Annual Time Burden (Hours) 1,200 1,200 0 0 0 0
Annual Cost Burden (Dollars) 738,000 0 0 0 738,000 0
No
No
This increase can be attributed to the Proposed Rule: U.S. Citizenship and Immigration Services Fee schedule; 1615-AB80.

$654,000
No
No
No
No
No
Uncollected
Stephen Tarragon 202-272-8358 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/04/2010


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