Medical Certification for Disability Exceptions

Forms and Documents

Document Name	Status
Form Form N-648 Medical Certification for Disability Exceptions Form	Modified
Supporting Statement Appendix A Form N648 60DayComment Matrix_4JAN2017.docx Supplementary Document	2017-02-06
N648-INS-TOC-30 Day-01132017.docx Supplementary Document	2017-02-06
N648-FRM-TOC-30 Day-01132017.docx Supplementary Document	2017-02-06
FRM N648 Ext 30day Supporting Statement ver4__6FEB2017.doc Supporting Statement A	2017-02-06
SORN A File_78 FR 69864_21NOV2013.pdf Supplementary Document	2017-02-06
SORN 007 BIS 81FR72069_19OCT2016.pdf Supplementary Document	2017-02-06
FRM N648 30DayFRN_6FEB2017.pdf Supplementary Document	2017-02-06
PIA CLAIMS4_5SEP2008.pdf Supplementary Document	2017-02-06
FRM N648 Ext 60DayFRN_20SEP2016.pdf Supplementary Document	2017-02-06
Reference citation 8-8-12.doc Supplementary Document	2012-08-08

IC Document Collections

IC ID	Document Title	Status
20362	Medical Certification for Disability Exceptions Form	Modified

ICR Details

OMB Control No: 1615-0060	ICR Reference No: 201702-1615-001
Status: Historical Active	Previous ICR Reference No: 201410-1615-003
Agency/Subagency: DHS/USCIS	Agency Tracking No: N-648
Title: Medical Certification for Disability Exceptions
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/21/2017
	Date Received in OIRA: 02/14/2017
Terms of Clearance: Approved for two years only due to partial GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved	03/31/2017
Responses	17,302	0	17,302
Time Burden (Hours)	34,604	0	34,604
Cost Burden (Dollars)	912,681	0	847,798

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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:
	81 FR 64474	09/20/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 9389	02/06/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

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

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ICR Summary of Burden

	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	17,302	17,302	0	0	0	0
Annual Time Burden (Hours)	34,604	34,604	0	0	0	0
Annual Cost Burden (Dollars)	912,681	847,798	0	0	64,883	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $5,814,662

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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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: 02/14/2017

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