Report of Medical Examination and Vaccination Record

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form I-693 Report of Medical Examination and Vaccination Record	Form	Modified	Available
FRM I693 Rev_SUPPORTING STATEMENT Appendix A_Comment Summary_20SEP2016.docx	Supplementary Document	Uploaded 2016-09-21	Repair queued
PIA 003 Integrated Digitization Document Management Program_5JAN2007.pdf	Supplementary Document	Uploaded 2016-09-21	Available
SORN 73 FR 56596_29SEP2008.pdf	Supplementary Document	Uploaded 2016-09-21	Available
FRM I-693 30-Day Supporting Statement_26JAN2017.doc	Supporting Statement A	Uploaded 2017-02-07	Available
SORN 78 FR 69864_21NOV2013.pdf	Supplementary Document	Uploaded 2016-09-21	Available
Reference citations 6-4-12.doc	Supplementary Document	Uploaded 2014-12-18	Repair queued
I693-FRM-TOC-OMB Rev- with CDC updates_11162016.docx	Supplementary Document	Uploaded 2016-11-18	Available
I693-INS-TOC-OMB Rev-with CDC updates-11162016.docx	Supplementary Document	Uploaded 2016-11-18	Available
FRM I693 Rev 30DayFRN_20SEP2016.pdf	Supplementary Document	Uploaded 2016-09-21	Available
USCIS-2006-0074-0050_FRM I693 60day_10MAY2016.pdf	Supplementary Document	Uploaded 2016-09-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20305	Report of Medical Examination and Vaccination Record	Form	Modified

ICR Details

OMB Control No: 1615-0033	ICR Reference No: 201609-1615-004
Status: Historical Active	Previous ICR Reference No: 201412-1615-012
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-693
Title: Report of Medical Examination and Vaccination Record
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/07/2017
	Date Received in OIRA: 09/29/2016
Terms of Clearance: Approved for two years only due to lack of GPEA compliance.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2019	36 Months From Approved	03/31/2017
Responses	574,000	0	620,244
Time Burden (Hours)	1,435,000	0	1,550,610
Cost Burden (Dollars)	283,412,500	0	303,919,560

---

Abstract: The information on the application will be used by USCIS in considering eligibility for adjustment of status under 8 CFR part 209, 8 CFR 210.5, 245.1 and 245a.3.

---

Authorizing Statute(s): US Code: 8 USC 1255 Name of Law: Immigration and Nationality Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 28884	05/10/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 64473	09/20/2016
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Report of Medical Examination and Vaccination Record	I-693	Report of Medical Examination and Vaccination Record

---

ICR Summary of Burden

table that charts list of burden

	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	574,000	620,244	0	0	-46,244	0
Annual Time Burden (Hours)	1,435,000	1,550,610	0	0	-115,610	0
Annual Cost Burden (Dollars)	283,412,500	303,919,560	0	0	-20,507,060	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is a decrease in the estimated public cost burden associated with this information collection, resulting from a lower agency estimate on adjustments of status filings and therefore, adjusting the estimated out-of-pocket costs that respondents may incur to obtain medical examinations. There has been a decrease of 115,610 hours in the total estimated annual burden hours previously reported for this information collection, from 1,550,610 to 1,435,000. This decrease can be attributed to the decrease in the number of respondents from 620,244 respondents to 574,000. The decrease in the number of respondents is based on the five year average of the number of respondents for the I-485 received by USCIS, for which an I-693 is required for adjustment of status.

---

Annual Cost to Federal Government: $36,271,634

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/29/2016

---