[Federal Register Volume 75, Number 89 (Monday, May 10, 2010)]
[Notices]
[Pages 25911-25912]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-11002]


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DEPARTMENT OF STATE

[Public Notice 6995]


30-Day Notice of Proposed Information Collection: Forms DS-2053, 
DS-2054; Medical Examination for Immigrant or Refugee Applicant; DS-
3030, Chest X-Ray and Classification Worksheet; 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.
    <bullet> Title of Information Collection: 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 Number: DS-2053, DS-2054, 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.

DATES: Submit comments to the Office of Management and Budget (OMB) for 
up to 30 days from May 10, 2010.

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:
    <bullet> E-mail: <a href="/cdn-cgi/l/email-protection#147b7d66754b676176797d67677d7b7a547b79763a717b643a737b62"><span class="__cf_email__" data-cfemail="a6c9cfd4c7f9d5d3c4cbcfd5d5cfc9c8e6c9cbc488c3c9d688c1c9d0">[email protected]</span></a>. You must include the 
DS form number, information collection title, and OMB control number in 
the subject line of your message.
    <bullet> 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 Lauren Prosnik 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) 663-2951.

SUPPLEMENTARY INFORMATION: 
    We are soliciting public comments to permit the Department to:
    <bullet> Evaluate whether the proposed information collection is 
necessary to properly perform 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,
    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. 
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); and DS-3030, Chest X-Ray and Classification Worksheet 
(2007 Technical Instructions) are designed to record the results of the 
medical examination. A panel physician performs the medical examination 
of the applicant and completes the forms.
    Methodology:

[[Page 25912]]

    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: April 28, 2010.
David T. Donahue,
Deputy Assistant Secretary, Bureau of Consular Affairs, Department of 
State.
[FR Doc. 2010-11002 Filed 5-7-10; 8:45 am]
BILLING CODE 4710-06-P


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