Justification for Changes to DS-1843

Justifications for Changes to DS-1843.docx

Medical History and Examination for Foreign Service

Justification for Changes to DS-1843

OMB: 1405-0068

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Justifications for Changes to DS-1843

Requested by the Office of Medical Services (MED)



The Office of Medical Services would like to make two edits to DS-1843 for the sake of increasing clarity for respondents. The edits are as follows:


Page 2, Item 42. Pregnancy History (number of times) – Deletion of Miscarriage, Premature births, Abortions, and Living children: This information was confusing to our clients. In addition, these numbers really do not impact our medical clearance adjudications.


Page 4, Item 3. Serology Hep B surface antigen – Deletion of instruction (If known, HBsAB pos. or has had immunizations, do not repeat): This was again unnecessary information and confusing to the client. It was not essential to the review process.


These changes are meant to help improve the client’s understanding of the information that MED is requesting on the form.

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