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1115-0205 199901-1115-002
Historical Active 199702-1115-005
DOJ/INS
Medical Certification for Disability Exceptions
Revision of a currently approved collection   No
Emergency 02/01/1999
Approved without change 02/08/1999
01/15/1999
Approved consistent with changes described in INS memos of 1-20-99, 1-25-99 and 2-5-99. and revised form to incorporate previous terms of clearance. By the time of this collection's next submission, the words (if applicable) will be added after the social security number. Also, INS will meet with OMB within the next five months to discuss the electronic submission of this and other forms.
  Inventory as of this Action Requested Previously Approved
07/31/1999 07/31/1999 04/30/2000
20,000 0 300,000
40,000 0 900,000
1,600,000 0 33,000,000