Report of Medical Examination and Vaccination Record

ICR 201703-1615-004

OMB: 1615-0033

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2017-03-16
Supplementary Document
2017-03-16
IC Document Collections
IC ID
Document
Title
Status
20305 Modified
ICR Details
1615-0033 201703-1615-004
Historical Active 201609-1615-004
DHS/USCIS I-693
Report of Medical Examination and Vaccination Record
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/01/2017
Retrieve Notice of Action (NOA) 04/28/2017
Previous terms of clearance continue to apply.
  Inventory as of this Action Requested Previously Approved
02/28/2019 02/28/2019 02/28/2019
574,000 0 574,000
1,435,000 0 1,435,000
283,412,500 0 283,412,500

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.

US Code: 8 USC 1255 Name of Law: Immigration and Nationality Act
  
None

Not associated with rulemaking

  81 FR 28884 05/10/2016
81 FR 64473 09/20/2016
Yes

1
IC Title Form No. Form Name
Report of Medical Examination and Vaccination Record I-693 Report of Medical Examination and Vaccination Record

  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 574,000 574,000 0 0 0 0
Annual Time Burden (Hours) 1,435,000 1,435,000 0 0 0 0
Annual Cost Burden (Dollars) 283,412,500 283,412,500 0 0 0 0
No
No
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.

$36,271,634
No
No
No
No
No
Uncollected
Heather Young 202 272-1673 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/28/2017


© 2024 OMB.report | Privacy Policy