Report of Medical Examination and Vaccination Record

ICR 202209-1615-003

OMB: 1615-0033

Federal Form Document

Forms and Documents

Document Name	Status
Form I-693 Report of Medical Examination and Vaccination Record Form	Modified
I-693-011 REV Supporting Statement 20221003.docx Supporting Statement A	2022-10-04
I693-011-INS-TOC-REV-OMBReview-10032022.docx Supplementary Document	2022-10-04
I693-011-FRM-TOC-REV-OMBReview-10032022.docx Supplementary Document	2022-10-04
I693-011 30dayFRN 87 FR 50348 2022-17529.pdf Supplementary Document	2022-09-27
I-693-011-REV-60-DayFRN-87-FR-35241_2022-12411.pdf Supplementary Document	2022-09-27
SORN 007 Benefits Info Sys 2016 10 19.pdf Supplementary Document	2019-02-05
SORN 001 AFileIndexNFTS 2017 09 18.pdf Supplementary Document	2019-02-05
privacy-pia-uscis-067-civilsurgeon-june1,2017.pdf Supplementary Document	2019-02-05
privacy-pia-003-uscis-iddmp-sept24,2013.pdf Supplementary Document	2019-02-05
Reference citations.doc Supplementary Document	2019-02-05

IC Document Collections

IC ID	Document Title	Status
20305	Report of Medical Examination and Vaccination Record Form	Modified