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pdfPAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency
OMB Control Number
DHS-USCIS
0033
1615
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record
New record
Agency form number (s)
I-693
Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically
%
%
Total annual hours
Difference
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**
USCIS is clarifying, with the USCIS Form I-693, the requirement that Civil Surgeons follow the Health and Human Service's
Technical Instructions for Medical Examinations of Aliens, as currently described in the Form I-693 instructions.
Signature of Senior Official or designee:
john.r.ramsay@uscis.
dhs.gov
Digitally signed by
[email protected]
DN: [email protected]
Date: 2017.10.02 16:13:15 -04'00'
** This form cannot be used to extend an expiration date.
OMB 83-C
Date:
10/2/2017
For OIRA Use
___________________________________
___________________________________
10/95
| File Type | application/pdf |
| File Title | Paperwork Reduction Act Submission (OMB 83-I) |
| Subject | Paperwork Reduction Act Submission (OMB 83-I) |
| Author | OMB |
| File Modified | 2017-10-02 |
| File Created | 1999-03-02 |