Information Collection

Applicant's Medical Certification

IC 249407 under ICR 202109-1615-003 · OMB 1615-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0060 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Applicant's Medical Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 312

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: Alien File and Central Index System	FR Citation: 76 FR 34233

Number of Respondents: 19,527	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	19,527	19,527
Annual IC Time Burden (Hours)	156,216	156,216
Annual IC Cost Burden (Dollars)	17,151,201	17,151,201

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.