Information Collection Request
Medical Clearance Update
ICR 202301-1405-005 · OMB 1405-0131 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1405-0131 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form DS-3057 Medical Clearance Update |
Form and Instruction | Modified | Repair queued |
 1405-0131_30 day Published.pdf |
Supplementary Document | Uploaded 2023-01-26 | Repair queued |
| PublishedFR_11-07-2022.pdf |
Supplementary Document | Uploaded 2023-01-26 | Repair queued |
 Legal Authorities 1405-0131(Updated).docx |
Supplementary Document | Uploaded 2023-01-26 | Repair queued |
| 30 days Supporting Statement - Updated DS-3057.docx |
Supporting Statement A | Uploaded 2023-01-26 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 15003 |  Medical Clearance Update |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | STATE/AFA |
| OMB Control No | 1405-0131 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202005-1405-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |