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

Forms and Documents

Document Name	Status
RE public comment on federal register of 112706 vol 71 #227 pg 68629.htm Supplementary Document	2006-12-19
public comment on federal register of 112706 vol 71 #227 pg 68629.htm Supplementary Document	2006-11-28
Supporting Statement09900001revised.wpd Supporting Statement A	2006-12-19

IC Document Collections

IC ID	Document Title	Status
46706	Clinical Care Application	New
10278	Research Applications	Modified

ICR Details

OMB Control No: 0990-0001	ICR Reference No: 200701-0990-003
Status: Historical Active	Previous ICR Reference No: 200303-0990-002
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Application of Waiver of the 2 Year Foreign Residence Requirement of the Exchange Visitor Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/2007
	Date Received in OIRA: 01/12/2007
Terms of Clearance: Approved consistent with the following terms of clearance: consistent with GPEA HHS should work toward developing an electronic process for submitting information associated with this collection. The Department will report on progress toward this goal in the next submission of this collection to OMB for review.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2010	36 Months From Approved	03/31/2007
Responses	250	0	200
Time Burden (Hours)	2,500	0	2,400
Cost Burden (Dollars)	25,000	0	150,000

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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:
	71 FR 42849	07/28/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 68630	11/27/2006
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Research Applications
Clinical Care 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	250	200	0	50	0	0
Annual Time Burden (Hours)	2,500	2,400	0	100	0	0
Annual Cost Burden (Dollars)	25,000	150,000	0	-125,000	0	0

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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Form HHS 426 will be revised to collect information from applicants for both research and clinical care waiver requests. An additional supplementary information sheet has been added for the clinical care portion of requests. An additional FTE is reviewing these waivers.

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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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 12/19/2006

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