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Medical Certification for Disability Exceptions
Medical Certification for Disability Exceptions
OMB: 1615-0060
IC ID: 20362
OMB.report
DHS/USCIS
OMB 1615-0060
ICR 201702-1615-001
IC 20362
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0060 can be found here:
2024-06-28 - Extension without change of a currently approved collection
2022-01-04 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form Form N-648
Medical Certification for Disability Exceptions
Form
N648-INS-WIP-30 Day-01132017.pdf
www.uscis.gov/n-648
Instruction
Form N-648 Medical Certification for Disability Exceptions
N648-FRM-WIP-30 Day-01132017.pdf
www.uscis.gov/n-648
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Medical Certification for Disability Exceptions
Agency IC Tracking Number:
N-648
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
8 CFR 312
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
Form N-648
Medical Certification for Disability Exceptions
N648-FRM-WIP-30 Day-01132017.pdf
www.uscis.gov/n-648
Yes
No
Fillable Printable
Instruction
N648-INS-WIP-30 Day-01132017.pdf
www.uscis.gov/n-648
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
Alien File and Central Index System
FR Citation:
76 FR 34233
Number of Respondents:
17,302
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
17,302
0
0
0
0
17,302
Annual IC Time Burden (Hours)
34,604
0
0
0
0
34,604
Annual IC Cost Burden (Dollars)
912,681
0
0
64,883
0
847,798
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.