Medical Certification for Disability Exceptions

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form N-648 Medical Certification for Disability Exceptions Form
N-648 Instructions Rev 02-04-09.pdf Instruction
N-648 Medical Certification for Disability Exceptions N-648_Form_02-04-09Y.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

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:

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_02-04-09Y.pdf		Yes	No	Fillable Printable
Instruction			N-648 Instructions Rev 02-04-09.pdf		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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	40,000	40,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.