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Medical Clearance Update
Medical Clearance Update
OMB: 1405-0131
IC ID: 263839
OMB.report
STATE/AFA
OMB 1405-0131
ICR 202312-1405-002
IC 263839
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0131 can be found here:
2023-12-18 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form DS-3057
Medical Clearance Update
Form and Instruction
DS-3057 Medical Clearance Update
DS5 - 3057 9-7-2023.pdf
Form and Instruction
Information Collection (IC) Details
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