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OMB Control No: 1615-0060	ICR Reference No: 202608-1615-005
Status: Received in OIRA	Previous ICR Reference No: 202406-1615-001
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	Date Submitted to OIRA: 09/25/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2027
Responses	157,114	39,054
Time Burden (Hours)	895,550	195,270
Cost Burden (Dollars)	71,508,866	17,775,089

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	157,114	39,054	118,060
Annual Time Burden (Hours)	895,550	195,270	700,280
Annual Cost Burden (Dollars)	71,508,866	17,775,089	53,733,777

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: USCIS is reporting an increase in the estimated annual hour burden to respondents for this collection of information as a result of this action. USCIS has provided a synopsis of the edits associated with the changes to the information collection within the paper filing instrument Table of Changes (TOC) for the Form N-648. USCIS is reporting an increase to the estimated annual cost burden to respondents for this collection of information as a result of this action.

Annual Cost to Federal Government: $1,681,120

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: Manuel Avendano 202 272-9747 manuel.a.avendano@uscis.dhs.gov

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