Document
Agency Information Collection Activities: Extension, Without Change, of a Currently Approved Collection: Application for Civil Surgeon Designation
The Department of Homeland Security (DHS), U.S. Citizenship and Immigration Services (USCIS) invites the general public and other Federal agencies to comment upon this proposed ...
SUPPLEMENTARY INFORMATION:
Comments
You may access the information collection instrument with instructions or additional information by visiting the Federal eRulemaking Portal site at:
https://www.regulations.gov
and entering USCIS-2013-0002 in the search box. Comments must be submitted in English, or an English translation must be provided. All submissions will be posted, without change, to the Federal eRulemaking Portal at
https://www.regulations.gov,
and will include any personal information you provide. Therefore, submitting this information makes it public. You may wish to consider limiting the amount of personal information that you provide in any voluntary submission you make to DHS. DHS may withhold information provided in comments from public viewing that it determines may impact the privacy of an individual or is offensive. For additional information, please read the Privacy Act notice that is available via the link in the footer of
https://www.regulations.gov.
Written comments and suggestions from the public and affected agencies should address one or more of the following four points:
(1) Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility;
(2) Evaluate the accuracy of the agency's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used;
(3) Enhance the quality, utility, and clarity of the information to be collected; and
(4) Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology,
e.g.,
permitting electronic submission of responses.
Overview of This Information Collection
(1)
Type of Information Collection:
Extension, Without Change, of a Currently Approved Collection.
(2)
Title of the Form/Collection:
Application for Civil Surgeon Designation.
(3)
Agency form number, if any, and the applicable component of the DHS sponsoring the collection:
I-910; USCIS.
(4)
Affected public who will be asked or required to respond, as well as a brief abstract: Primary:
Business or other for-profit. This information collection is required to determine whether a physician meets the statutory and regulatory requirement for civil surgeon designation. For example, all documents are reviewed to determine whether the physician has a currently valid medical license and whether the physician has had any action taken against him or her by the medical licensing authority of the U.S. state(s) or U.S. territories in which he or she practices. If the Application for Civil Surgeon Designation (Form I-910) is approved, the physician is included in USCIS's public Civil Surgeon locator and is authorized to complete Form I-693 (OMB Control Number 1615-0033) for an applicant's adjustment of status.
(5)
An estimate of the total number of respondents and the amount of time estimated for an average respondent to respond:
The estimated total number of annual respondents for the information collection I-910 is 470 and the estimated hour burden per response is 2 hours.
(6)
An estimate of the total public burden (in hours) associated with the collection:
The estimated total annual hour burden associated with this collection is 940 hours.
(7)
An estimate of the total public burden (in cost) associated with the collection:
The estimated total annual cost burden associated with this collection of information is $24,205.
Dated: April 16, 2026.
John R. Pfirrmann-Powell,
Acting Deputy Chief, Regulatory Coordination Division, Office of Policy and Strategy, U.S. Citizenship and Immigration Services, Department of Homeland Security.