Medical Certification for Disability Exceptions

ICR 201702-1615-001

OMB: 1615-0060

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2017-02-06
Supplementary Document
2017-02-06
Supplementary Document
2017-02-06
Supporting Statement A
2017-02-06
Supplementary Document
2017-02-06
Supplementary Document
2017-02-06
Supplementary Document
2017-02-06
Supplementary Document
2017-02-06
Supplementary Document
2017-02-06
Supplementary Document
2012-08-08
IC Document Collections
IC ID
Document
Title
Status
20362 Modified
ICR Details
1615-0060 201702-1615-001
Historical Active 201410-1615-003
DHS/USCIS N-648
Medical Certification for Disability Exceptions
Extension without change of a currently approved collection   No
Regular
Approved without change 03/21/2017
Retrieve Notice of Action (NOA) 02/14/2017
Approved for two years only due to partial GPEA compliance.
  Inventory as of this Action Requested Previously Approved
03/31/2019 36 Months From Approved 03/31/2017
17,302 0 17,302
34,604 0 34,604
912,681 0 847,798

USCIS uses the Form N-648 to substantiate a claim for an exception to the requirements of section 312(a) of the Immigration and Nationality Act. By certifying Form N-648, the doctor states that an applicant filing an Application for Naturalization, Form N-400, is unable to complete the English and/or civics requirements because of a physical or developmental disability or mental impairment(s).

US Code: 8 USC 1423 Name of Law: U.S. Code
  
None

Not associated with rulemaking

  81 FR 64474 09/20/2016
82 FR 9389 02/06/2017
Yes

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

  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 17,302 17,302 0 0 0 0
Annual Time Burden (Hours) 34,604 34,604 0 0 0 0
Annual Cost Burden (Dollars) 912,681 847,798 0 0 64,883 0
No
No

$5,814,662
No
No
No
No
No
Uncollected
Heather Young 202 272-1673 [email protected]

  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.
02/14/2017


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