Medical Examination for Immigrant or Refugee Applicant

ICR 202503-1405-005

OMB: 1405-0113

Federal Form Document

Forms and Documents

Document Name	Status
Form DS-3025 Medical Examination for Immigrant or Refugee Applicant Form and Instruction	Unchanged
Form DS-3025 Medical Examination for Immigrant or Refugee Applicant Form and Instruction	Unchanged
Form DS-3025 Medical Examination for Immigrant or Refugee Applicant Form and Instruction	New
Form DS-3025 Medical Examination for Immigrant or Refugee Applicant Form and Instruction	New
Form DS-2054 Medical Examination for Immigrant or Refugee Applicant Form	Unchanged
Form DS-2054 Medical Examination for Immigrant or Refugee Applicant Form	Unchanged
FW COVID 19 Vaccine Update.msg Supplementary Document	2025-03-20
FW COVID 19 Vaccine Update.msg Supplementary Document	2025-03-20
DS-3025 nonsub change justification.docx Justification for No Material/Nonsubstantive Change	2025-03-20
DS-3025 nonsub change justification.docx Justification for No Material/Nonsubstantive Change	2025-03-20
(004) Tab 3 -- Legal Authorities -- 30 Day Paper Medical.docx Supplementary Document	2022-07-21
(004) Tab 3 -- Legal Authorities -- 30 Day Paper Medical.docx Supplementary Document	2022-07-21
SIGNED T3837-21 - PRA Emergency Approval for COVID-19 Vaccine.pdf Supplementary Document	2021-12-20
SIGNED T3837-21 - PRA Emergency Approval for COVID-19 Vaccine.pdf Supplementary Document	2021-12-20
Justification for Emergency Approval.docx Supplementary Document	2021-12-20
Justification for Emergency Approval.docx Supplementary Document	2021-12-20
Legal Authorities.docx Supplementary Document	2021-12-20
Legal Authorities.docx Supplementary Document	2021-12-20
(003) Tab 2 -- Supporting Statement -- 30 Day Paper Medical .docx Supporting Statement A	2022-07-21
(003) Tab 2 -- Supporting Statement -- 30 Day Paper Medical .docx Supporting Statement A	2022-07-21

IC Document Collections

IC ID	Document Title	Status
38745	Medical Examination for Immigrant or Refugee Applicant Form and Instruction	Unchanged
38745	Medical Examination for Immigrant or Refugee Applicant Form and Instruction	Unchanged
274498	Medical Examination for Immigrant or Refugee Applicant Form and Instruction	New
274498	Medical Examination for Immigrant or Refugee Applicant Form and Instruction	New
254779	Medical Examination for Immigrant or Refugee Applicant Form	Unchanged
254779	Medical Examination for Immigrant or Refugee Applicant Form	Unchanged