USCIS Processing Time Update July 2026: Civil Surgeon Designation Form Extended

The U.S. Citizenship and Immigration Services (USCIS) published a notice in the Federal Register on July 7, 2026, announcing the extension of a currently approved information collection activity related to the Application for Civil Surgeon Designation. The agency is seeking public comments on the extension, with a comment period closing on August 6, 2026. Civil surgeons are medical doctors authorized by USCIS to perform the immigration medical examinations required for applicants seeking lawful permanent residence, including those pursuing employment-based green cards such as the EB-3 category. The I-693 medical examination conducted by civil surgeons is a mandatory component of the adjustment of status process. Importantly, this notice indicates no changes to the existing form or requirements — it is a routine administrative renewal of an approved information collection under the Paperwork Reduction Act. EB-3 applicants and their sponsors should not expect any procedural changes to the medical examination process as a result of this notice. Individuals or organizations wishing to comment on the collection can submit feedback through Regulations.gov before the August 6, 2026 deadline. While not a policy change, public comments can influence how USCIS administers and refines its information collection processes over time.