View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1115-0205	ICR Reference No: 199702-1115-005
Status: Historical Active	Previous ICR Reference No: 199612-1115-006
Agency/Subagency: DOJ/INS	Agency Tracking No:
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: 04/16/1997
	Date Received in OIRA: 02/26/1997
Terms of Clearance: Approved; Upon reprinting the form, INS agreed to add a statement to the instructions which informs the respondent that a guardian may sign the release of medical records in Part I. INS request not display the expiration date is approved.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2000	04/30/2000	06/30/1997
Responses	300,000	0	300,000
Time Burden (Hours)	900,000	0	900,000
Cost Burden (Dollars)	33,000,000	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	300,000	300,000	0
Annual Time Burden (Hours)	900,000	900,000	0
Annual Cost Burden (Dollars)	33,000,000	0	33,000,000

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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