Medical Certification for Disability Exceptions

Documents and Forms

Document Name Document Type
Form Form N-648 Medical Certification for Disability Exceptions Form
N648-006-INS-Rev-OMBReview-11302021.pdf Instruction
Form N-648 Medical Certification for Disability Exceptions N648-006-FRM-Rev-OMBReview-11302021.pdf 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	N648-006-FRM-Rev-OMBReview-11302021.pdf		Yes	No	Fillable Printable
Instruction			N648-006-INS-Rev-OMBReview-11302021.pdf		Yes	No	Printable Only

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: 19,527	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	19,527	0	15,389	4,138
Annual IC Time Burden (Hours)	39,054	29,040	0	10,014
Annual IC Cost Burden (Dollars)	623,888	0	410,781	213,107

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.