[Federal Register Volume 76, Number 91 (Wednesday, May 11, 2011)]
[Notices]
[Pages 27373-27374]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-11407]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF STATE

[Public Notice: 7451]


30-Day Notice of Proposed Information Collection: Medical 
Examination Forms for Immigrant or Refugee Applicants

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

-----------------------------------------------------------------------

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-2054, DS-3030, 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.
     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 May 11, 2011.

ADDRESSES: Direct comments to the Department of State Desk Officer in 
the Office of Information and Regulatory Affairs at the Office of 
Management and Budget (OMB). You may submit comments by 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.
     Fax: 202-395-5806. Attention: Desk Officer for Department 
of State.

FOR FURTHER INFORMATION CONTACT: You may obtain copies of the proposed 
information collection and supporting documents from Stefanie Claus 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) 663-2910.

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

[[Page 27374]]

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 (1991 Technical Instructions); Form DS-2054, Medical 
Examination for Immigrant or Refugee Applicant (2007 Technical 
Instructions); Form DS-3024, Chest X-Ray and Classification Worksheet 
(1991 Technical Instructions); Form DS-3030, Chest X-Ray and 
Classification Worksheet (2007 Technical Instructions); Form DS-3025, 
Vaccination Documentation Worksheet; 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. Medical exams may 
also be required occasionally for nonimmigrant visa applicants.
    Methodology: The electronic medical forms will be submitted 
electronically to the Department. Doctors who submit the medical 
information electronically will no longer submit paper-based forms to 
the Department. It is the intention of the Department to discontinue 
the paper versions as this electronic submission option is made 
available to all panel physicians worldwide.
    At posts that continue in the short term to use the paper version 
of the medical forms, panel physicians will keep copies of the form at 
their offices. The completed forms are then submitted in hard copy to 
the consular officer for processing.

    Dated: April 27, 2011.
David T. Donahue,
Deputy Assistant Secretary, Bureau of Consular Affairs, Department of 
State.
[FR Doc. 2011-11407 Filed 5-10-11; 8:45 am]
BILLING CODE 4710-06-P