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View ICR - OIRA Conclusion

OMB Control No: 1615-0060	ICR Reference No: 202207-1615-012
Status: Historical Active	Previous ICR Reference No: 201909-1615-003
Agency/Subagency: DHS/USCIS	Agency Tracking No: N-648
Title: Medical Certification for Disability Exceptions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/19/2022
	Date Received in OIRA: 12/31/2021
Terms of Clearance: Approved for two years due to lack of GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2024	36 Months From Approved	08/31/2022
Responses	39,054	0	4,138
Time Burden (Hours)	195,270	0	10,014
Cost Burden (Dollars)	17,775,089	0	213,107

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	39,054	4,138	0	34,916
Annual Time Burden (Hours)	195,270	10,014	29,040	156,216
Annual Cost Burden (Dollars)	17,775,089	213,107	0	17,561,982

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: With this Revision action, there was an increase in the total estimated annual hour burden. This result stems from an increase in hours due to a change in the Agency Estimate and an increase in hours due to Program Changes, including adding a new category of respondent (Applicant) to the estimate to better capture the time and cost incurred by the foreign national, removed questions and related instructions based on 60-day commenter suggestions, and the addition of clarifying language. There were no other Program Changes. With this Revision action, there was an increase in the total estimated annual out-of-pocket cost burden. This result stems from an increase in costs due to a change in the Agency Estimate and no change in costs due to Program Change.

Annual Cost to Federal Government: $456,338

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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? No

Agency Contact: Megan Barker 202 272-9135 megan.m.barker@uscis.dhs.gov

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