State Dept Proposes Updates to Overseas Medical Exam Forms
Published Date: 12/17/2025
Notice
Summary
The Department of State wants to update the medical history and exam forms used by employees and their families working overseas. They’re asking for public feedback over the next 60 days before making changes official. This update won’t cost extra but will help keep health checks smooth and clear for about 2,000 people.
Analyzed Economic Effects
3 provisions identified: 0 benefits, 3 costs, 0 mixed.
Forms decide overseas assignment eligibility
These forms collect medical history and exam results so a medical provider and the Department can make a medical clearance decision for initial appointment to an overseas assignment. The forms are also used to decide whether you or eligible family members will have appropriate medical and/or educational resources at the host mission.
You must complete medical clearance forms
You must complete forms DS-1843 and DS-1622 when applying for an overseas position (and again intermittently as needed). The Department estimates 2,039 respondents, an average of 1 hour per response, and that responding is required to obtain or retain the benefit of an overseas assignment.
New questions for non-foreign service employees
The updated DS-1843 and DS-1622 now include questions that collect employment agency information for non-foreign service agencies, which will apply to individuals from those agencies when they complete the forms.
Personalized for You
How does this regulation affect your finances?
Personalize government policy and PRIA will tell you what this federal register document means for your household, plus every other regulation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Key Dates
Related Federal Register Documents
2026-04931, Schedule of Fees for Consular Services-Fee for Administrative Processing of Request for Certificate of Loss of Nationality of the United States
Good news for U.S. citizens and nationals who want to give up their citizenship! Starting April 13, 2026, the fee for processing a Certificate of Loss of Nationality drops from $2,350 to just $450. This big price cut makes it way easier and cheaper to handle this important paperwork at U.S. embassies and consulates.
2025-17851, Schedule of Fees for Consular Services, Department of State and Overseas Embassies and Consulates-Visa Services Fee Changes
The Department of State is adding a $1 fee to enter the Diversity Visa lottery to share costs more fairly among all applicants. This means everyone who wants to try their luck at the visa lottery will pay a small fee upfront, instead of only winners paying later. The new fee will start when you register online, so get ready to pay a buck when you apply!
2025-14826, Visas: Visa Bond Pilot Program
The Department of State is launching a 12-month pilot program where some travelers applying for B-1/B-2 visas from certain countries might need to pay a bond up to $15,000. This applies to visitors from places with high visa overstays or special citizenship rules. The goal? To make sure folks follow visa rules and keep travel safe and fair.
2026-16207, Implementation of the Administrative False Claims Act
This rule would establish updated, procedural regulations implementing the Administrative False Claims Act (AFCA) at the Department of State.
2026-16210, Privacy Act of 1974; System of Records
Official Gift Records and Gift Donor Vetting Records, State- 80, consists of an accounting of all donations received on behalf of the Department of State for the purposes of: maintaining a historical record, properly allocating donations given for a particular purpose, determining future solicitation and gift acceptance, and providing donors with acknowledgment letters for tax purposes. Gift Donor Vetting Records keeps an accounting of the due diligence vetting process conducted on individuals to determine the potential for conflicts of interest with respect to gifts, potential gifts, and potential partnerships with the Department of State.
2026-15950, Certification Under Section 7045(b)(2)(A) of the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2024 (SFOAA) (Div. F, P.L. 118-47), as carried forward by the Full-Year Continuing Appropriations Act, 2025 (Div. A, P.L. 119-4)
The U.S. government officially confirms that El Salvador, Guatemala, and Honduras are making real progress fighting corruption, improving justice, protecting human rights, and working with the U.S. to tackle crime and migration. These countries are also boosting their economies and security while promoting fair business practices. This certification keeps important U.S. support flowing in 2024 and 2025 to help these nations keep moving forward.
Previous / Next Documents
Previous: 2025-23130, Notice of Public Meeting of the Tennessee Advisory Committee
The Tennessee Advisory Committee to the U.S. Commission on Civil Rights is kicking off their new term with a virtual meeting on January 12, 2026, from 3 to 4 p.m. CT. Anyone interested can join online or by phone to hear about their first project ideas and even share their thoughts. This meeting is free to attend but phone charges may apply, and public comments are welcome during and after the meeting.
Next: 2025-23133, Foreign Terrorist Organization Designation of Clan del Golfo
The U.S. government officially labels Clan del Golfo, a dangerous criminal group from Colombia, as a Foreign Terrorist Organization starting December 17, 2025. This means tougher rules and penalties for anyone supporting or doing business with them, including freezing their assets. The move aims to cut off their money and stop their harmful activities.