Information Collection

Electronic Medical Examination for Visa Applicant

IC 278675 under ICR 202601-1405-003 · OMB 1405-0230.

Documents and Forms

Document Name Document Type
Form ds-7794 Electronic Medical Examination for Visa Applicant Form and Instruction
Form ds-7794 Electronic Medical Examination for Visa or Immigration Benefit (eMedical Electronic Medical Examination for Visa Applicant Form and Instruction
ds-7794 Electronic Medical Examination for Visa or Immigration B (005) Tab 4 - Revised DS-7794 - eMedical - 30-day PRA - 2025.pdf Form and Instruction
ds-7794 Electronic Medical Examination for Visa or Immigration B (005) Tab 4 - Revised DS-7794 - eMedical - 30-day PRA - 2025.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Electronic Medical Examination for Visa Applicant	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ds-7794	Electronic Medical Examination for Visa or Immigration Benefit (eMedical	(005) Tab 4 - Revised DS-7794 - eMedical - 30-day PRA - 2025.pdf		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title: Electronic Medical Examination for Visa or Immigration Benefit (eMedical	FR Citation: 90 FR 12891

Number of Respondents: 550,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	550,000	-30,330	580,330
Annual IC Time Burden (Hours)	550,000	-30,330	580,330
Annual IC Cost Burden (Dollars)	247,500,000	-13,648,500	261,148,500

Documents for IC

Title	Document	Date Uploaded
No associated records found

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

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