OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medical Clearance Update

OMB 1405-0131 ยท STATE/AFA.

OMB 1405-0131

The information requested on the DS-3057 is required for professional medical staff of the Bureau of Medical Services to make decisions on the type of medical clearance an individual and family members are assigned. This medical clearance, in turn, is used by the Foreign Service to determine posts abroad where the Foreign Service member and family may serve.

The latest form for Medical Clearance Update expires 2027-01-31 and is listed under ICR 202503-1405-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form DS-3057 Medical Clearance UpdateForm and Instruction
Form DS-3057 Medical Clearance UpdateForm and Instruction
Justification for Change-DS3057-3.17.2025.docxJustification for No Material/Nonsubstantive Change
Supporting Statement - DS-3057 12-12-23.docxSupporting Statement A
Legal Authorities 1405-0131(9-7-2023).docxSupplementary Document
1405-0131_30 day Published.pdfSupplementary Document
PublishedFR_11-07-2022.pdfSupplementary Document
Legal Authorities 1405-0131(Updated).docxSupplementary Document
Medical Clearance Update Form and Instruction
Medical Clearance Update Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202503-1405-004 No material or nonsubstantive change to a currently approved collection 2025-03-18 Approved without change
202312-1405-004 Reinstatement with change of a previously approved collection 2023-12-18 Approved with change
202312-1405-002 Reinstatement without change of a previously approved collection 2023-12-08 Improperly submitted
202301-1405-005 Revision of a currently approved collection 2023-01-26 Approved without change
202005-1405-001 Revision of a currently approved collection 2020-05-13 Approved with change
201703-1405-001 Revision of a currently approved collection 2017-03-31 Approved with change
201402-1405-003 Revision of a currently approved collection 2014-02-26 Approved with change
201012-1405-001 Extension without change of a currently approved collection 2010-12-02 Approved without change
200809-1405-002 Extension without change of a currently approved collection 2008-09-08 Approved without change
200505-1405-002 Extension without change of a currently approved collection 2005-05-20 Approved without change
200203-1405-001 Reinstatement without change of a previously approved collection 2002-03-27 Approved without change
200107-1405-003 Existing collection in use without an OMB Control Number 2001-07-31 Approved without change