Application of Waiver of the 2 Year Foreign Residence Requirement of the Exchange Visitor Program

Forms and Documents

Document Name	Status
Form 426 Apllication Waiver/ Supplemental B Clinical Care Form	Unchanged
Form 426 Application waiver Supplemental A Research Form	Unchanged
0990-0001 Federal Register, Volume 81 Issue 239 (Tuesday, December 13, 2016).htm Supplementary Document	2016-12-14
0990-0001 Federal Register, Volume 81 Issue 187 (Tuesday, September 27, 2016).htm Supplementary Document	2016-12-14
0990-0001 Supporting Statement for HHS 426 HCW EDIT (2).docx Supporting Statement A	2016-12-14

IC Document Collections

IC ID	Document Title	Status
46706	Apllication Waiver/ Supplemental B Clinical Care Form	Unchanged
10278	Application waiver Supplemental A Research Form	Unchanged

ICR Details

OMB Control No: 0990-0001	ICR Reference No: 201609-0990-002
Status: Historical Active	Previous ICR Reference No: 201309-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No: 19201
Title: Application of Waiver of the 2 Year Foreign Residence Requirement of the Exchange Visitor Program
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: 01/17/2017
	Date Received in OIRA: 12/15/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved	01/31/2017
Responses	80	0	80
Time Burden (Hours)	800	0	800
Cost Burden (Dollars)	100,000	0	100,000

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Abstract: The information requred by use of this form and supplementary information sheets is used by this Department to make a determination, in accordance with its published regulations, as to whether or not to request from the Department of State, a waiver of the two-year foreign residence requirement for applicants in the United States on a J-1 visa.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 66286	09/27/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 89952	12/13/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Application waiver Supplemental A Research	426	Application
Apllication Waiver/ Supplemental B Clinical Care	426, 426	Application ,   Application

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	80	80	0	0	0	0
Annual Time Burden (Hours)	800	800	0	0	0	0
Annual Cost Burden (Dollars)	100,000	100,000	0	0	0	0

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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Annual Cost to Federal Government: $414,000

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/15/2016

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