Medical Certification for Disability Exceptions

Medical Certification for Disability Exceptions

OMB: 1615-0060

IC ID: 20362

Information Collection (IC) Details

View Information Collection (IC)

Medical Certification for Disability Exceptions
 
No Modified
 
Required to Obtain or Retain Benefits
 

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

Homeland Security Border and Transportation Security

 

20,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 20,000 0 0 0 0 20,000
Annual IC Time Burden (Hours) 40,000 0 0 0 0 40,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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