Medical Certification for Disability Exceptions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form N-648 Medical Certification for Disability Exceptions	Form	Modified	Available
Appendix A N-648 Public Comments and Responses Matrix..pdf	Supplementary Document	Uploaded 2026-09-15	Available
N-648-010_REV_SPTSTMT.docx	Supporting Statement A	Uploaded 2026-09-15	Available
N648-010-INS-TOC-REV-08212026.pdf	Supplementary Document	Uploaded 2026-09-08	Available
N648-010-FRM-TOC-REV-08212026.pdf	Supplementary Document	Uploaded 2026-09-08	Available
privacy-pia-079-uscis-cms-05132019.pdf	Supplementary Document	Uploaded 2024-06-28	Available
G1055-INS-(N648-010 REV).pdf	Supplementary Document	Uploaded 2026-09-08	Available
DHS USCIS PIA 056 20160517.pdf	Supplementary Document	Uploaded 2019-10-08	Available
DHS USCIS PIA 003 20070105.pdf	Supplementary Document	Uploaded 2019-10-08	Available
DHS USCIS ICE CBP 001 SORN 20170918.pdf	Supplementary Document	Uploaded 2019-10-08	Available
DHS-USCIS-007_SORN_101019.pdf	Supplementary Document	Uploaded 2024-06-28	Available
N-648 30day FRN Publication.pdf	Supplementary Document	Uploaded 2026-09-08	Available
N-648 60day FRN Publication.pdf	Supplementary Document	Uploaded 2026-09-08	Available
Reference citation 8-8-12.doc	Supplementary Document	Uploaded 2012-08-08	Source copy available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
254888	Applicant's Medical Certification		Modified
20362	Medical Certification for Disability Exceptions	Form	Modified	Medical Certification for Disability Exceptions
20362	Medical Certification for Disability Exceptions	Instruction	Modified

ICR Details

OMB Control No: 1615-0060	ICR Reference No: 202608-1615-005
Status: Received in OIRA	Previous ICR Reference No: 202406-1615-001
Agency/Subagency: DHS/USCIS	Agency Tracking No: N-648
Title: Medical Certification for Disability Exceptions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/25/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2027
Responses	157,114	39,054
Time Burden (Hours)	895,550	195,270
Cost Burden (Dollars)	71,508,866	17,775,089

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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:
	90 FR 42256	08/25/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 34244	06/05/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 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

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ICR Summary of Burden

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	157,114	39,054	0	118,060	0	0
Annual Time Burden (Hours)	895,550	195,270	0	700,280	0	0
Annual Cost Burden (Dollars)	71,508,866	17,775,089	0	53,733,777	0	0

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: USCIS is reporting an increase in the estimated annual hour burden to respondents for this collection of information as a result of this action. USCIS has provided a synopsis of the edits associated with the changes to the information collection within the paper filing instrument Table of Changes (TOC) for the Form N-648. USCIS is reporting an increase to the estimated annual cost burden to respondents for this collection of information as a result of this action.

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Annual Cost to Federal Government: $1,681,120

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: 09/25/2026

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