Medical Certification for Disability Exceptions

Forms and Documents

Document Name	Status
Form Form N-648 Medical Certification for Disability Exceptions Form	Modified
N-648 REV Supporting Statement 20201008.docx Supporting Statement A	2021-11-30
DHS USCIS PIA 056 20160517.pdf Supplementary Document	2019-10-08
DHS USCIS PIA 015 20080905.pdf Supplementary Document	2019-10-08
DHS USCIS PIA 003 20070105.pdf Supplementary Document	2019-10-08
DHS USCIS ICE CBP 001 SORN 20170918.pdf Supplementary Document	2019-10-08
DHS USCIS 007 SORN 20161019.pdf Supplementary Document	2019-10-08
N648-006-INS-TOC-REV-OMBReview-11302021.docx Supplementary Document	2021-11-30
N648-006-FRM-TOC-REV-OMBReview-11302021.docx Supplementary Document	2021-11-30
N-648 30 Day FRN.pdf Supplementary Document	2019-09-11
N-648-006_60-Day_FRN_85_FR_20704_2021-08154.pdf Supplementary Document	2021-09-20
Reference citation 8-8-12.doc Supplementary Document	2012-08-08

IC Document Collections

IC ID	Document Title	Status
249407	Applicant's Medical Certification	New
20362	Medical Certification for Disability Exceptions Form	Modified

ICR Details

OMB Control No: 1615-0060	ICR Reference No: 202109-1615-003
Status: Received in OIRA	Previous ICR Reference No: 201909-1615-003
Agency/Subagency: DHS/USCIS	Agency Tracking No: N-648
Title: Medical Certification for Disability Exceptions
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/04/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	39,054	0
Time Burden (Hours)	195,270	0
Cost Burden (Dollars)	17,775,089	0

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Abstract: 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).

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Authorizing Statute(s): US Code: 8 USC 1423 Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 20704	04/21/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 55630	10/06/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

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

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ICR Summary of Burden

	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

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: 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.

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Annual Cost to Federal Government: $456,338

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/04/2022

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