Report of Medical Examination and Vaccination Record

Report of Medical Examination and Vaccination Record

OMB: 1615-0033

IC ID: 20305

Information Collection (IC) Details

View Information Collection (IC)

Report of Medical Examination and Vaccination Record
 
No Modified
 
Required to Obtain or Retain Benefits
 
8 CFR 245 8 CFR 245a 8 CFR 209 8 CFR 210  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form I-693 Report of Medical Examination and Vaccination Record I-693 Form 4-27-11.pdf Yes No Fillable Printable
Instruction I-693 Instructions 4-27-11.pdf Yes No Printable Only

Health Public Health Monitoring

 

800,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 800,000 0 0 0 0 800,000
Annual IC Time Burden (Hours) 2,000,000 0 0 0 0 2,000,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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