Medical Examination for Immigrant or Refugee Applicant

Medical Examination for Immigrant or Refugee Applicant

OMB: 1405-0113

IC ID: 38745

Information Collection (IC) Details

View Information Collection (IC)

Medical Examination for Immigrant or Refugee Applicant
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DS-3030 Tuberculosis Worksheet ds3030 - DRAFT.pdf No   Fillable Printable
Form and Instruction DS-3025 Vaccination Documentation Worksheet ds3025 - DRAFT - 10-23-2017 - flat.pdf No   Fillable Printable
Form and Instruction DS-3026 Medical History and Physical Examination Worksheet ds3026 - DRAFT - 10-23-2017 - flat.pdf No   Fillable Printable
Form and Instruction DS-2054 Medical Examination for Immigrant or Refugee Applicant ds2054 - DRAFT - 10-23-2017 - flat.pdf No   Fillable Printable

Health Public Health Monitoring

SORN Visa Records, State-39  60 FR 148

828,728 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 828,728 0 168,728 0 0 660,000
Annual IC Time Burden (Hours) 828,728 0 168,728 0 0 660,000
Annual IC Cost Burden (Dollars) 372,725,100 0 82,475,100 0 0 290,250,000

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.

© 2024 OMB.report | Privacy Policy