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        <title>60-Day Notice of Proposed Information Collection: Forms DS-2053, DS-2054; Medical Examination for Immigrant or Refugee Applicant; DS-3024, DS-3030, Chest X-Ray and Classification Worksheet; DS-3025, Vaccination Documentation Worksheet; DS-3026; Medical History and Physical Examination Worksheet; OMB Control Number 1405-0113</title>
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    <abstract>The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. The purpose of this notice is to allow 60 days for public comment in the Federal Register preceding submission to OMB. We are conducting this process in accordance with the Paperwork Reduction Act of 1995. &lt;bullet&gt; Title of Information Collection: Electronic Medical Examination for Immigrant or Refugee Applicant. &lt;bullet&gt; OMB Control Number: 1405-0113. &lt;bullet&gt; Type of Request: Revision of a Currently Approved Collection. &lt;bullet&gt; Originating Office: Bureau of Consular Affairs, Office of Visa Services (CA/VO). &lt;bullet&gt; Form Numbers: DS-2053, DS-2054, DS-3024, DS-3025, DS-3026, and DS-3030. &lt;bullet&gt; Respondents: Immigrant visa and refugee applicants. &lt;bullet&gt; Estimated Number of Respondents: 630,000 per year. &lt;bullet&gt; Estimated Number of Responses: 630,000 per year. &lt;bullet&gt; Average Hours Per Response: 1 hour. &lt;bullet&gt; Total Estimated Burden: 630,000 hours annually. &lt;bullet&gt; Frequency: Once per application. &lt;bullet&gt; Obligation to Respond: Required to Obtain Benefit.</abstract>
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        <action>Notice of request for public comments.</action>
        <summary>The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. The purpose of this notice is to allow 60 days for public comment in the Federal Register preceding submission to OMB. We are conducting this process in accordance with the Paperwork Reduction Act of 1995. &lt;bullet&gt; Title of Information Collection: Electronic Medical Examination for Immigrant or Refugee Applicant. &lt;bullet&gt; OMB Control Number: 1405-0113. &lt;bullet&gt; Type of Request: Revision of a Currently Approved Collection. &lt;bullet&gt; Originating Office: Bureau of Consular Affairs, Office of Visa Services (CA/VO). &lt;bullet&gt; Form Numbers: DS-2053, DS-2054, DS-3024, DS-3025, DS-3026, and DS-3030. &lt;bullet&gt; Respondents: Immigrant visa and refugee applicants. &lt;bullet&gt; Estimated Number of Respondents: 630,000 per year. &lt;bullet&gt; Estimated Number of Responses: 630,000 per year. &lt;bullet&gt; Average Hours Per Response: 1 hour. &lt;bullet&gt; Total Estimated Burden: 630,000 hours annually. &lt;bullet&gt; Frequency: Once per application. &lt;bullet&gt; Obligation to Respond: Required to Obtain Benefit.</summary>
        <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 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.</contact>
        <tocSubject1>Agency Information Collection Activities; Proposals, Submissions, and Approvals:</tocSubject1>
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