US Immigration from Madagascar

I know they need it for the interview, but do they need it before then like for the medical exam?

There's not much I can find on the internet of reports of people having success or denials with only meeting once before the Embassy interview except for very high risk countries like Nigeria, Cambodia, Afghanistan, ect. Any thoughts or reports on that would be appreciated. Besides being poor, my fianc e's country should he considered low risk.

Not only is my fianc e country is very expensive to fly to, but my work has gotten complicated to where I'm unsure if I can travel there before interview (we are in the middle of NVC stage). This is why I'm asking the question.

I jumped on the website this morning and saw this. It doesn't say approval and doesn't look like the same notices that I see other people post. And I've gotten no email or text message. So is this a Noa2 or not?

We still have more cases in our week than anyone else except 2 weeks in January. Has any of the longtime group members seen anything like this before? I feel like I'm in a restaurant waiting 20 minutes for my order while seeing other people walk in and walk out.

I think I'm going to get an RFE. I did my own packet before I found this site. I learned a lot of stuff on here that I didn't see in other parts of the internet. I didn't copy all pages of my passport. I see that I should have from reading here (but I don't remember seeing anything about that in the instructions the government supplied). I also only did a computer print out of my fiancee passport photo. I saw other people got RFE'd and were asked to supply a glossy photo. Finally, I'm unsure about my birth certificate, I might get an RFE for not copying the back, even though nothing is really on the back. If I do get one, hopefully it will not extend my application for than a month.