Medical Certification for Disability Exceptions

ICR 200303-1615-062

OMB: 1615-0060

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
20361 Migrated
ICR Details
1615-0060 200303-1615-062
Historical Active 200201-1115-001
DHS/USCIS
Medical Certification for Disability Exceptions
Revision of a currently approved collection   No
Regular
Approved without change 03/01/2003
Retrieve Notice of Action (NOA) 03/01/2003
INS will provide OMB with a timeline for electronic submission within six months of this form's approval.
  Inventory as of this Action Requested Previously Approved
03/31/2005 03/31/2005
20,000 0 0
40,000 0 0
1,600,000 0 0

The Service uses the Form N-648 medical certification issued by the licensed medical professional to substantiate a claim for an exception to the requirements of section 312(a) of the Immigration and Nationality Act. This certification is needed to support the applicant's claim of an exception to this naturalization.

None
None


No

1
IC Title Form No. Form Name
Medical Certification for Disability Exceptions N-648

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 20,000 0 0 20,000 0 0
Annual Time Burden (Hours) 40,000 0 0 40,000 0 0
Annual Cost Burden (Dollars) 1,600,000 0 0 1,600,000 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/01/2003


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