Table of Changes - Instructions

Pre-decisional – DO NOT DISTRIBUTE

TABLE OF CHANGES- INSTRUCTIONS

FORM I-910, Application for Civil Surgeon Designation

OMB No: 1615-0114

Submission Date ____

Current Section and Page Number	Current Text	Proposed Section and Page Number (If Changing)	Proposed Text
N/A	[New language only appropriate in context of a form. New language/section added to be consistent with other USCIS forms.]	Form I-910 Instructions, Section: What Is the Purpose of This Form? p. 1 Section: Who Should Use Form I-910? p. 1 Section: Are There Other Requirements For Civil Surgeon Designation? p. 1 Section: General Instructions, p. 3 Section: What Is the Filing Fee? p. 6 Section: Where To File? p. 6 Section: Processing Information, p. 8 Section: USCIS Forms and Information, p. 8 Section: Penalties, p. 8 Section: USCIS Privacy Act Statement, p. 8 Section: USCIS Compliance Review and Monitoring, p. 9 Section: Paperwork Reduction Act, p. 9 Section: Is Your Application Complete? p. 9	What Is the Purpose of This Form? * * * Who Should Use Form I-910? * * * Are There Other Requirements For Civil Surgeon Designation? In addition to meeting the professional qualifications, you must: 1. Apply for civil surgeon designation using Form I-910; 2. Submit the completed Form I-910 with the correct fee; * * * * * General Instructions * * * What Is the Filing Fee? * * * Where To File? * * * Processing Information * * * USCIS Forms and Information * * * Penalties * * * USCIS Privacy Act Statement * * * USCIS Compliance Review and Monitoring * * * Paperwork Reduction Act * * * Is Your Application Complete? * * *
USCIS Web site	Most applicants for adjustment of status are required to have a medical examination. The medical examination must be conducted by a civil surgeon who has been designated by the Bureau of Citizenship and Immigration Services. Medical examinations are needed for adjustment of status cases (Form I-485) and requests for V nonimmigrant status (Form I-539). If you are applying for a visa outside of the United States, the DOS will instruct you to have a medical exam conducted by a Panel Physician overseas prior to their receiving their visa. For more information review our Immigration Medical Examination page. [Currently, when determining whether to grant civil surgeon designation, USCIS typically verifies that the medical office location exists.] [A civil surgeon’s purpose is to perform the immigration medical examination according to U.S. Department of Health and Human Services’ regulations at 42 CFR 34, which include the Technical Instructions for the Medical Examination of Aliens in the United States, published by the Centers for Disease Control and Prevention. The added language clarifies these requirements.] [USCIS has the discretion to designate as many or as few civil surgeons as needed per 8 CFR 232.2. New language is added to further clarify common questions about the program.]	Form I-910 Instructions, Section: What Is A Civil Surgeon? p. 1 Section: Are There Other Requirements For Civil Surgeon Designation? p. 1 Section: What Are the Responsibilities Of A Civil Surgeon? p. 2 Section: Can Civil Surgeon Designation Be Revoked? p. 3 Section: Frequently Asked Questions, p. 7	What Is A Civil Surgeon? By law, a civil surgeon is a physician designated by the United States Citizenship and Immigration Services (USCIS) . . . * * * Are There Other Requirements For Civil Surgeon Designation? * * * * * 3. Currently have an active practice at the locations where you are requesting to perform immigration medical examinations. USCIS will not grant your civil surgeon designation for locations where you only intend to practice in the future. Civil surgeon designation is at the discretion of USCIS. Although you may meet the professional qualifications and other requirements as listed in Form I-910, there is no guarantee that you will be designated as a civil surgeon. What Are the Responsibilities Of A Civil Surgeon? * * * Can Civil Surgeon Designation Be Revoked? * * * Frequently Asked Questions * * *
N/A	[If USCIS determines that a physician applying for civil surgeon designation has been previously designated but is no longer designated at time of application, USCIS may inquire further as to the circumstances of the prior termination or revocation of civil surgeon designation to determine whether any concerns remain that might impact the current application for civil surgeon designation.]	Form I-910 Instructions, Specific Instructions, Part 1, p. 3	Part 1. For Previously Designated Civil Surgeons * * *
USCIS Web site	Civil Surgeon should submit the following to their local District Office: A letter to the District Director requesting consideration A copy of a current medical license A current resume that show 4 years of professional experience, not including a residency program Proof of U.S. Citizenship or lawful status in the United States Two signature cards showing name typed and the signature below [We currently request interested applicants to submit the information required to USCIS to be considered for civil surgeon designation.]	Form I-910 Instructions, Section: What Professional Qualifications Are Required For Civil Surgeon Designation? p. 1 Specific Instructions, Parts 2-8, pp. 4-5; and Part 10, pp. 5-6	In order to be designated as a civil surgeon by USCIS, you must . . . * * * Part 2. Information About You * * * Part 3. Clinical Office Locations * * * Part 4. Information About Your Status in the United States * * * Part 5. Medical License(s) * * * Part 6. Medical Degree(s) * * * Part 7. Professional Experience * * * Part 10. Additional Information * * *
USCIS Web site	[We currently request interested applicants to submit the information required to USCIS to be considered for civil surgeon designation. If the application is prepared by someone other than the physician (e.g. an office manager or assistant), then this information may be included in the letter requesting civil surgeon designation.]	Form I-910 Instructions, Specific Instructions, Part 9, p. 5	Part 9. Signature of Person Preparing This Application, If Other Than Applicant * * *
USCIS Web site	Finding A Designated Civil Surgeon in Your Area For the most current list of civil surgeons in your area, please check our Civil Surgeon Locator, or call the National Customer Service Center at 1 (800) 375-5283. After you have selected English or Spanish as your language of choice for the message, choose #5 for medical examinations from the list of six automated options. You will be asked to key in your zip code to help determine the list of designated civil surgeons close to you. Have pencil and paper ready to record the names of the civil surgeons provided.	Form I-910 Instructions, Section: Where Is Civil Surgeon Information Listed? p. 6	Where Is Civil Surgeon Information Listed? * * *
N/A	[Civil surgeons currently update their contact information by email or through their local civil surgeon coordinator]	Form I-910 Instructions, Section: When and How Do I Update My Civil Surgeon Information? p. 7 Section: Address Change, p. 8	When and How Do I Update My Civil Surgeon Information? * * *

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