[Federal Register Volume 75, Number 239 (Tuesday, December 14, 2010)]
[Notices]
[Pages 77936-77937]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-31355]


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DEPARTMENT OF STATE

[Public Notice 7265]


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

ACTION: Notice of request for public comments.

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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.
    <bullet> Title of Information Collection: Electronic Medical 
Examination for Immigrant or Refugee Applicant.
    <bullet> OMB Control Number: 1405-0113.
    <bullet> Type of Request: Revision of a Currently Approved 
Collection.
    <bullet> Originating Office: Bureau of Consular Affairs, Office of 
Visa Services (CA/VO).
    <bullet> Form Numbers: DS-2053, DS-2054, DS-3024, DS-3025, DS-3026, 
and DS-3030.
    <bullet> Respondents: Immigrant visa and refugee applicants.
    <bullet> Estimated Number of Respondents: 630,000 per year.
    <bullet> Estimated Number of Responses: 630,000 per year.
    <bullet> Average Hours Per Response: 1 hour.
    <bullet> Total Estimated Burden: 630,000 hours annually.
    <bullet> Frequency: Once per application.
    <bullet> Obligation to Respond: Required to Obtain Benefit.

DATE(S): The Department will accept comments from the public up to 60 
days from December 14, 2010.

ADDRESSES: You may submit comments by any of the following methods:
    <bullet> E-mail: <a href="/cdn-cgi/l/email-protection#97f4fbf6e2e4e4e5d7e4e3f6e3f2b9f0f8e1"><span class="__cf_email__" data-cfemail="1c7f707d696f6f6e5c6f687d6879327b736a">[email protected]</span></a>.
    <bullet> Mail (paper, disk, or CD-ROM submissions): Chief, 
Legislation and Regulations Division, Visa Services--OMB 1405-0113 
Reauthorization, 2401 E Street, NW., Washington, DC 20520-30106.
    <bullet> Fax: (202) 663-3898.
    You must include the DS form number(s) (if applicable), information 
collection title, and OMB control number in any correspondence.

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 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:
    <bullet> Evaluate whether the proposed information collection is 
necessary for the proper performance of our functions.
    <bullet> Evaluate the accuracy of our estimate of the burden of the 
proposed collection, including the validity of the methodology and 
assumptions used.
    <bullet> Enhance the quality, utility, and clarity of the 
information to be collected.
    <bullet> Minimize the reporting burden on those who are to respond, 
including the use of automated collection techniques or other forms of 
technology.
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 (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

[[Page 77937]]

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: November 29, 2010.
David T. Donahue,
Deputy Assistant Secretary, Bureau of Consular Affairs, Department of 
State.
[FR Doc. 2010-31355 Filed 12-13-10; 8:45 am]
BILLING CODE 4710-06-P


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