OMB
.report
Search
Form DS-1622 Medical History and Examination for Children Age 11 and
Medical History and Examination
DS-1622
Medical History and Examination
OMB: 1405-0068
OMB.report
STATE/AFA
OMB 1405-0068
ICR 202301-1405-006
IC 14884
Form DS-1622 Medical History and Examination for Children Age 11 and
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1405-0068 can be found here:
2023-12-17 - No material or nonsubstantive change to a currently approved collection
2023-07-10 - No material or nonsubstantive change to a currently approved collection
Document [html]
Download:
html
The system is under maintenance. It will be back shortly.
File Type
text/html
© 2025 OMB.report |
Privacy Policy