Information Collection

Medical Certification for Disability Exceptions

IC 20362 under ICR 201809-1615-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form N-648 Medical Certification for Disability Exceptions Form
N648-INS-WIP-Ext-30Day-07172018.pdf www.uscis.gov/n-648 Instruction
Form N-648 Medical Certification for Disability Exceptions n-648.pdf www.uscis.gov/n-648 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	n-648.pdf	www.uscis.gov/n-648	Yes	No	Fillable Printable
Instruction			N648-INS-WIP-Ext-30Day-07172018.pdf	www.uscis.gov/n-648	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: 4,138	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	4,138	-13,164	17,302
Annual IC Time Burden (Hours)	8,276	-26,328	34,604
Annual IC Cost Burden (Dollars)	202,762	-709,919	912,681

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.