Information Collection Request

Medical Certification for Disability Exceptions

ICR 202406-1615-001 · OMB 1615-0060 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form N-648 Medical Certification for Disability Exceptions Form Modified Repair queued
privacy-pia-079-uscis-cms-05132019.pdf Supplementary Document Uploaded 2024-06-28 Repair queued
N-648-008_EXT_SPTSTMT.docx Supporting Statement A Uploaded 2024-06-28 Missing upstream
g-1055.pdf Supplementary Document Uploaded 2024-06-13 Available
DHS USCIS PIA 056 20160517.pdf Supplementary Document Uploaded 2019-10-08 Missing upstream
DHS USCIS PIA 003 20070105.pdf Supplementary Document Uploaded 2019-10-08 Repair queued
DHS USCIS ICE CBP 001 SORN 20170918.pdf Supplementary Document Uploaded 2019-10-08 Repair queued
DHS-USCIS-007_SORN_101019.pdf Supplementary Document Uploaded 2024-06-28 Repair queued
N-648 30 day FRN.pdf Supplementary Document Uploaded 2024-06-14 Repair queued
N-648-008 60-DAY Publication.pdf Supplementary Document Uploaded 2024-06-13 Repair queued
Reference citation 8-8-12.doc Supplementary Document Uploaded 2012-08-08 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
254888 Applicant's Medical Certification Modified
20362 Medical Certification for Disability Exceptions Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 08/31/2024
39,054 39,054
195,270 195,270
17,775,089 17,775,089





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Applicant's Medical Certification
Medical Certification for Disability Exceptions Form N-648 Medical Certification for Disability Exceptions

table that charts list 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 39,054 0 0 0 0
Annual Time Burden (Hours) 195,270 195,270 0 0 0 0
Annual Cost Burden (Dollars) 17,775,089 17,775,089 0 0 0 0


Reginfo record details
  No