Information Collection

Medical Certification for Disability Exceptions

IC 20362 under ICR 200806-1615-014 · OMB 1615-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0060 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form N-648 Medical Certification for Disability Exceptions	Form
N-648 Instructions Rev 05-14-08.pdf	Instruction
N-648 Medical Certification for Disability Exceptions N-648 Form 05-14-08.pdf	Form

IC Title:

Medical Certification for Disability Exceptions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N-648	Medical Certification for Disability Exceptions	N-648 Form 05-14-08.pdf		Yes	No	Fillable Printable
Instruction			N-648 Instructions Rev 05-14-08.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20,000	0	20,000
Annual IC Time Burden (Hours)	40,000	0	40,000
Annual IC Cost Burden (Dollars)	0	-207,200,000	207,200,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.