Medical Certification for Disability Exceptions

ICR 199906-1115-001

OMB: 1115-0205

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
12152 Migrated
ICR Details
1115-0205 199906-1115-001
Historical Active 199901-1115-002
DOJ/INS
Medical Certification for Disability Exceptions
Revision of a currently approved collection   No
Regular
Approved without change 07/16/1999
Retrieve Notice of Action (NOA) 06/01/1999
Approved consistent with clarification in INS memo of 7-13-99 and revised form.
  Inventory as of this Action Requested Previously Approved
07/31/2002 07/31/2002 07/31/1999
20,000 0 20,000
40,000 0 40,000
1,600,000 0 1,600,000

These medical certifications will be used to support an applicant's claim to an exception of the literacy and history/government knowledge requirements found in section 312 of the Immigration and Nationality Act. The INS Adjudication Officers are not medical doctors and should not be placed in the position of making medical determinations. These certifications, which are executed by licensed health care providers, are needed to support the applicant's claim of an exception to this naturalization requirement.

None
None


No

1
IC Title Form No. Form Name
Medical Certification for Disability Exceptions N-648

  Total Approved 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 20,000 20,000 0 0 0 0
Annual Time Burden (Hours) 40,000 40,000 0 0 0 0
Annual Cost Burden (Dollars) 1,600,000 1,600,000 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/01/1999


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