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Applicant's Medical Certification
Medical Certification for Disability Exceptions
OMB: 1615-0060
IC ID: 249407
OMB.report
DHS/USCIS
OMB 1615-0060
ICR 202109-1615-003
IC 249407
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Applicant's Medical Certification
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Key Asset and Critical Infrastructure Protection
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 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
19,527
0
0
19,527
0
0
Annual IC Time Burden (Hours)
156,216
0
0
156,216
0
0
Annual IC Cost Burden (Dollars)
17,151,201
0
0
17,151,201
0
0
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.