Medical Certification for Disability Exceptions

ICR 202109-1615-003

OMB: 1615-0060

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2021-11-30
Supplementary Document
2019-10-08
Supplementary Document
2019-10-08
Supplementary Document
2019-10-08
Supplementary Document
2019-10-08
Supplementary Document
2019-10-08
Supplementary Document
2021-11-30
Supplementary Document
2021-11-30
Supplementary Document
2019-09-11
Supplementary Document
2021-09-20
Supplementary Document
2012-08-08
IC Document Collections
ICR Details
1615-0060 202109-1615-003
Received in OIRA 201909-1615-003
DHS/USCIS N-648
Medical Certification for Disability Exceptions
Reinstatement with change of a previously approved collection   No
Regular 01/04/2022
  Requested Previously Approved
36 Months From Approved
39,054 0
195,270 0
17,775,089 0

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

  86 FR 20704 04/21/2021
86 FR 55630 10/06/2021
Yes

2
IC Title Form No. Form Name
Applicant's Medical Certification
Medical Certification for Disability Exceptions Form N-648 Medical Certification for Disability Exceptions

  Total Request 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 39,054 0 0 0 34,916 4,138
Annual Time Burden (Hours) 195,270 0 0 29,040 156,216 10,014
Annual Cost Burden (Dollars) 17,775,089 0 0 0 17,561,982 213,107
Yes
Miscellaneous Actions
No
With this Revision action, there was an increase in the total estimated annual hour burden. This result stems from an increase in hours due to a change in the Agency Estimate and an increase in hours due to Program Changes, including adding a new category of respondent (Applicant) to the estimate to better capture the time and cost incurred by the foreign national, removed questions and related instructions based on 60-day commenter suggestions, and the addition of clarifying language. There were no other Program Changes. With this Revision action, there was an increase in the total estimated annual out-of-pocket cost burden. This result stems from an increase in costs due to a change in the Agency Estimate and no change in costs due to Program Change.

$456,338
No
    Yes
    Yes
No
No
No
No
Megan Barker 202 272-9135 [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.
01/04/2022


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