Information Collection

Medical Examination of Applicants for United States Visas

IC 14966 under ICR 200004-1405-003 · OMB 1405-0113.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Medical Examination of Applicants for United States Visas

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OF-157				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	700,000	0	700,000
Annual IC Time Burden (Hours)	1,400,000	1,330,000	70,000
Annual IC Cost Burden (Dollars)	70,000,000	69,930,000	70,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.