Information Collection

Medical Certification for Disability Exceptions

IC 20362 under ICR 200806-1615-014 · OMB 1615-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0060 can be found here:

Documents and Forms

Document Name Document Type
Form N-648 Medical Certification for Disability Exceptions Form
N-648 Instructions Rev 05-14-08.pdf Instruction
N-648 Medical Certification for Disability Exceptions N-648 Form 05-14-08.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Medical Certification for Disability Exceptions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N-648	Medical Certification for Disability Exceptions	N-648 Form 05-14-08.pdf		Yes	No	Fillable Printable
Instruction			N-648 Instructions Rev 05-14-08.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20,000	0	20,000
Annual IC Time Burden (Hours)	40,000	0	40,000
Annual IC Cost Burden (Dollars)	0	-207,200,000	207,200,000

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.