Information Collection

Applicant's Medical Certification

IC 254888 under ICR 202608-1615-005 · OMB 1615-0060.

Documents and Forms

Documents and forms in this information collection
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: Modified

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: 78,557

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	78,557	59,030	19,527
Annual IC Time Burden (Hours)	628,456	472,240	156,216
Annual IC Cost Burden (Dollars)	68,998,970	51,847,769	17,151,201

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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