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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.


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1115-0205 200201-1115-001
Historical Active 199906-1115-001
DOJ/INS
Medical Certification for Disability Exceptions
Revision of a currently approved collection   No
Regular
Approved without change 03/12/2002
01/09/2002
INS will provide OMB with a timeline for electronic submission within six months of this form's approval.
  Inventory as of this Action Requested Previously Approved
03/31/2005 03/31/2005 07/31/2002
20,000 0 20,000
40,000 0 40,000
1,600,000 0 1,600,000