Information Collection

Applicant's Medical Certification

IC 254888 under ICR 202207-1615-012 · OMB 1615-0060.

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Documents and Forms

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Document Name	Document Type

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IC Title:

Applicant's Medical Certification

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 312

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records

Title: Alien File and Central Index System

FR Citation: 76 FR 34233

Number of Respondents: 19,527

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	19,527	19,527
Annual IC Time Burden (Hours)	156,216	156,216
Annual IC Cost Burden (Dollars)	17,151,201	17,151,201

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.