Information Collection Request
Application for Civil Surgeon Designation
ICR 202212-1615-018 · OMB 1615-0114 · Historical Inactive
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1615-0114 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form I-910 Application for Civil Surgeon Designation |
Form | Modified | Repair queued |
| Form I-910 Application for Civil Surgeon Designation |
Form | Modified | Repair queued |
 I-910-008-REV-FeeRuleNPRM_SPTSTMT.docx |
Supporting Statement A | Uploaded 2022-12-05 | Available |
| I-910-008-REV-FeeRuleNPRM_SPTSTMT.docx |
Supporting Statement A | Uploaded 2022-12-05 | Repair queued |
| I910-008-INS-TOC-FeeRule-OMBReview-NPRM-11082022.docx |
Supplementary Document | Uploaded 2022-12-05 | Repair queued |
| I910-008-INS-TOC-FeeRule-OMBReview-NPRM-11082022.docx |
Supplementary Document | Uploaded 2022-12-05 | Repair queued |
 G1055-INS-FeeRule-OMBReview-NPRM-12292022.pdf |
Supplementary Document | Uploaded 2023-01-03 | Available |
| G1055-INS-FeeRule-OMBReview-NPRM-12292022.pdf |
Supplementary Document | Uploaded 2023-01-03 | Missing upstream |
| privacy-pia-uscis-067-civilsurgeon-june1,2017.pdf |
Supplementary Document | Uploaded 2018-04-10 | Available |
| privacy-pia-uscis-067-civilsurgeon-june1,2017.pdf |
Supplementary Document | Uploaded 2018-04-10 | Repair queued |
| privacy-pia-064-uscis-myuscis-dec14,2016.pdf |
Supplementary Document | Uploaded 2020-05-01 | Available |
| privacy-pia-064-uscis-myuscis-dec14,2016.pdf |
Supplementary Document | Uploaded 2020-05-01 | Missing upstream |
| SORN 007 Benefits Info Sys 2016 10 19.pdf |
Supplementary Document | Uploaded 2018-04-10 | Available |
| SORN 007 Benefits Info Sys 2016 10 19.pdf |
Supplementary Document | Uploaded 2018-04-10 | Repair queued |
 Reference_Citations[1].doc |
Supplementary Document | Uploaded 2015-10-27 | Available |
| Reference_Citations[1].doc |
Supplementary Document | Uploaded 2015-10-27 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 192797 |  Application for Civil Surgeon Designation |
Form | Modified | |
| 192797 | Application for Civil Surgeon Designation |
Form | Modified |
ICR Details
| Status | Historical Inactive |
|---|---|
| Agency/Subagency | DHS/USCIS |
| OMB Control No | 1615-0114 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202206-1615-002 |
| Agency Tracking No | I-910 |
| Date Submitted to OIRA | 2023-01-24 |
| Requested Expiration Date | 1969-12-31 |