[Federal Register Volume 72, Number 121 (Monday, June 25, 2007)]
[Notices]
[Pages 34734-34735]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-12252]


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DEPARTMENT OF STATE

[Public Notice: 5845]


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

ACTION: Notice of request for public comment and submission to OMB of 
proposed collection of information.

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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.
     Title of Information Collection: Medical Examination for 
Immigrant or Refugee Applicant.
     OMB Control Number: 1405-0113.
     Type of Request: Revision of a Currently Approved 
Collection.
     Originating Office: Bureau of Consular Affairs, Office of 
Visa Services (CA/VO).
     Form Number: DS-2053, DS-3024, DS-3025, DS-3026.
     Respondents: Immigrant visa and refugee applicants.
     Estimated Number of Respondents: 630,000 per year.
     Estimated Number of Responses: 630,000 per year.
     Average Hours per Response: 1 hour.
     Total Estimated Burden: 630,000 hours annually.

[[Page 34735]]

     Frequency: Once per application.
     Obligation to Respond: Required to Obtain Benefit.

DATES: Submit comments to the Office of Management and Budget (OMB) for 
up to 30 days from June 25, 2007.

ADDRESSES: Direct comments and questions to Katherine Astrich, the 
Department of State Desk Officer in the Office of Information and 
Regulatory Affairs at the Office of Management and Budget (OMB), who 
may be reached at 202-395-4718. You may submit comments by any of the 
following methods:
     E-mail: [email protected]. You must 
include the DS form number, information collection title, and OMB 
control number in the subject line of your message.
     Mail (paper, disk, or CD-ROM submissions): Office of 
Information and Regulatory Affairs, Office of Management and Budget, 
725 17th Street, NW., Washington, DC 20503.
     Fax: 202-395-6974

FOR FURTHER INFORMATION CONTACT: Direct requests for additional 
information regarding the collection listed in this notice, including 
requests for copies of the proposed information collection and 
supporting documents, to Andrea Lage of the Office of Visa Services, 
U.S. Department of State, 2401 E Street, NW., L-603, Washington, DC 
20522, who may be reached at (202) 663-1221 or [email protected].

SUPPLEMENTARY INFORMATION: We are soliciting public comments to permit 
the Department to:
     Evaluate whether the proposed information collection is 
necessary to properly perform our functions.
     Evaluate the accuracy of our 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.
    Abstract of proposed collection: INA Section 221(d) requires that 
prior to the issuance of an immigrant visa the applicant undergo a 
physical and mental examination. The results of the medical examination 
are used to determine the alien's eligibility for such a visa under INA 
212(a)(1). INA Section 412(b)(4)(B) requires that the United States 
Government ``provide for the identification of refugees who have been 
determined to have medical conditions affecting the public health and 
requiring treatment.'' Form DS-2053, Medical Examination for Immigrant 
or Refugee Applicant; Form DS-3024, Chest X-Ray and Classification 
Worksheet; Form DS-3025, Vaccination Documentation Worksheet; and Form 
DS-3026, Medical History and Physical Examination Worksheet, are 
designed to record the results of the medical examination. The panel 
physician performs the medical examination of the applicant and 
completes the forms.
    Methodology: The medical forms are sent to the applicant in the 
applicant's package. The applicant takes the forms to the panel 
physician to use during the medical examination. The panel physician 
completes the medical examination and fills out the forms. The forms 
are then submitted in hard copy to the consular officer for processing.

    Dated: June 7, 2007.
Stephen A. Edson,
Deputy Assistant Secretary, Bureau of Consular Affairs, Department of 
State.
 [FR Doc. E7-12252 Filed 6-22-07; 8:45 am]
BILLING CODE 4710-06-P