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Medical Clearance Update
ICR 202301-1405-005
OMB: 1405-0131
Federal Form Document
OMB.report
STATE/AFA
OMB 1405-0131
ICR 202301-1405-005
( )
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1405-0131 can be found here:
2023-12-18 - Reinstatement with change of a previously approved collection
2023-12-08 - Reinstatement without change of a previously approved collection
Forms and Documents
Document
Name
Status
Form DS-3057 Medical Clearance Update
Form and Instruction
Modified
1405-0131_30 day Published.pdf
Supplementary Document
2023-01-26
PublishedFR_11-07-2022.pdf
Supplementary Document
2023-01-26
Legal Authorities 1405-0131(Updated).docx
Supplementary Document
2023-01-26
30 days Supporting Statement - Updated DS-3057.docx
Supporting Statement A
2023-01-26
IC Document Collections
IC ID
Document
Title
Status
15003
Medical Clearance Update
Form and Instruction
Modified
ICR Details
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