Report of Medical Examination and Vaccination Record

ICR 202502-1615-001

OMB: 1615-0033

Federal Form Document

Forms and Documents

Document Name	Status
Form I-693 Report of Medical Examination and Vaccination Record Form	Unchanged
I-693-016 EXT Supporting Statement 20250204.docx Supporting Statement A	2025-03-18
I-693-016 EXT 30-day FRN 90FR42 20250305.pdf Supplementary Document	2025-03-05
I-693 60-Day FRN.pdf Supplementary Document	2025-02-14
SORN 007 Benefits Info Sys 2016 10 19.pdf Supplementary Document	2019-02-05
SORN 001 AFileIndexNFTS 2017 09 18.pdf Supplementary Document	2019-02-05
privacy-pia-uscis-067-civilsurgeon-june1,2017.pdf Supplementary Document	2019-02-05
privacy-pia-003-uscis-iddmp-sept24,2013.pdf Supplementary Document	2019-02-05
Reference citations.doc Supplementary Document	2019-02-05

IC Document Collections

IC ID	Document Title	Status
20305	Report of Medical Examination and Vaccination Record Form	Unchanged