[Federal Register Volume 69, Number 27 (Tuesday, February 10, 2004)]
[Notices]
[Page 6364]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-2829]


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DEPARTMENT OF STATE

[Public Notice 4620]


30-Day Notice of Proposed Information Collection: Forms DS-2053, 
DS-3024, DS-3025 and DS-3026; Medical Examination for Immigrant or 
Refugee Applicant; OMB Control Number 1405-0113

AGENCY: Department of State.

ACTION: Notice.

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SUMMARY: The Department of State has submitted the following 
information collection request to the Office of Management and Budget 
(OMB) for approval in accordance with the Paperwork Reduction Act of 
1995. Comments should be submitted to OMB within 30 days of the 
publication of this notice.
    The following summarizes the information collection proposal 
submitted to OMB:
    Type of Request: Extension of currently approved collection.
    Originating Office: Bureau of Consular Affairs, Department of State 
(CA/VO).
    Title of Information Collection: Medical Examination for Immigrant 
or Refugee Applicant.
    Frequency: On occasion. Once per respondent.
    Form Number: DS-2053, DS-3024, DS-3025 and DS-3026.
    Respondents: Immigrant visa and refugee applicants.
    Estimated Number of Respondents: 630,000 per year.
    Average Hours Per Response: 1 hour.
    Total Estimated Burden: 630,000 hours per year.
    Public comments are being solicited to permit the agency to:
     Evaluate whether the proposed information 
collection is necessary for the proper performance of the functions of 
the agency, including whether the information will have practical 
utility.
     Evaluate the accuracy of the agency's estimate 
of the burden of the proposed collection, including the validity of the 
methodology and assumptions used.
     Enhance the quality, utility, and clarity of the 
information to be collected.
     Minimize the reporting burden on those who are 
to respond, including through the use of automated collection 
techniques or other forms of technology.

FOR FURTHER INFORMATION CONTACT: Copies of the proposed information 
collection and supporting documents may be obtained from Brendan 
Mullarkey of the Office of Visa Services, U.S. Department of State, 
2401 E St. NW, RM L-703, Washington, DC 20520, who may be reached on 
(202) 663-1166. Public comments and questions should be directed to the 
State Department Desk Officer, Office of Information and Regulatory 
Affairs, Office of Management and Budget (OMB), Washington, DC 20530, 
who may be reached on (202) 395-7860.

    Dated: January 30, 2004.
Janice L. Jacobs,
Deputy Assistant Secretary of State for Visa Services, Bureau of 
Consular Affairs, Department of State.
[FR Doc. 04-2829 Filed 2-9-04; 8:45 am]
BILLING CODE 4710-06-P