Medical Clearance Update

OMB 1405-0131

OMB 1405-0131

The information requested on the DS-3057 is required for professional medical staff of the Bureau of Medical Services to make decisions on the type of medical clearance an individual and family members are assigned. This medical clearance, in turn, is used by the Foreign Service to determine posts abroad where the Foreign Service member and family may serve.

The latest form for Medical Clearance Update expires 2023-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Form and Instruction
Supporting Statement A
Supplementary Document
Supplementary Document
Supplementary Document
Supplementary Document
All Historical Document Collections
Approved with change
 Reinstatement with change of a previously approved collection 2023-12-18
Improperly submitted
 Reinstatement without change of a previously approved collection 2023-12-08
Approved without change
 Revision of a currently approved collection 2023-01-26
Approved with change
 Revision of a currently approved collection 2020-05-13
Approved with change
 Revision of a currently approved collection 2017-03-31
Approved with change
 Revision of a currently approved collection 2014-02-26
Approved without change
 Extension without change of a currently approved collection 2010-12-02
Approved without change
 Extension without change of a currently approved collection 2008-09-08
Approved without change
 Extension without change of a currently approved collection 2005-05-20
Approved without change
 Reinstatement without change of a previously approved collection 2002-03-27
Approved without change
 Existing collection in use without an OMB Control Number 2001-07-31
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