USCIS Regulatory Frameworks & Compliance 2 — Questions and Answers
Question 1: Which federal agency is primarily responsible for overseeing the USCIS immigration medical examination program?
- Centers for Disease Control and Prevention (CDC) (Correct answer)
- Department of Homeland Security (DHS)
- Department of Health and Human Services (HHS)
- Food and Drug Administration (FDA)
Correct answer: Centers for Disease Control and Prevention (CDC)
The CDC's Division of Global Migration Health sets the technical instructions and standards that civil surgeons must follow for immigration medical exams.
Question 2: A civil surgeon's USCIS designation expires how long after it is granted?
- 2 years
- 3 years
- 5 years (Correct answer)
- Indefinitely unless revoked
Correct answer: 5 years
USCIS designates civil surgeons for 5-year periods, after which they must reapply to maintain their authorization.
Question 3: Under USCIS regulations, which of the following conditions is classified as a Class A inadmissible condition?
- Latent tuberculosis infection without symptoms
- Active pulmonary tuberculosis (Correct answer)
- A positive tuberculin skin test with no disease
- Completing TB treatment more than 2 years ago
Correct answer: Active pulmonary tuberculosis
Active pulmonary tuberculosis is a Class A condition that renders an applicant inadmissible unless a waiver is granted.
Question 4: What is the primary purpose of Form I-693 in the immigration process?
- To report income and financial status
- To document results of the immigration medical examination (Correct answer)
- To certify English language proficiency
- To record employment history for visa purposes
Correct answer: To document results of the immigration medical examination
Form I-693 (Report of Medical Examination and Vaccination Record) is the official document civil surgeons complete to report an applicant's medical examination findings to USCIS.
Question 5: Which regulation defines the list of communicable diseases of public health significance for immigration purposes?
- 8 CFR Part 212
- 42 CFR Part 34 (Correct answer)
- 21 CFR Part 1270
- 45 CFR Part 164
Correct answer: 42 CFR Part 34
42 CFR Part 34 contains the CDC regulations governing medical examination of aliens, including the list of communicable diseases of public health significance.
Question 6: If a civil surgeon fails to follow CDC Technical Instructions, USCIS may take which action?
- Issue a written warning only
- Require additional training before any consequence
- Terminate the civil surgeon's designation (Correct answer)
- Refer the matter to state medical board only
Correct answer: Terminate the civil surgeon's designation
USCIS has authority to terminate a civil surgeon's designation if they fail to comply with CDC Technical Instructions or USCIS requirements.
Question 7: Which of the following vaccinations is NOT currently required by the CDC Technical Instructions for immigration medical exams for adults?
- Influenza
- Varicella
- Smallpox (Correct answer)
- Hepatitis B
Correct answer: Smallpox
Smallpox vaccination is no longer required or recommended as the disease was eradicated in 1980 and routine vaccination ceased.
Which federal agency is primarily responsible for overseeing the USCIS immigration medical examination program?