Form Approved
OMB No. 0990-0001
Exp. Date XX/XX/20XX
APPLICATION FOR WAIVER OF THE TWO-YEAR FOREIGN RESIDENCE
REQUIREMENT OF THE EXCHANGE VISITOR PROGRAM
SUPPLEMENTARY INFORMATION - A (Research)
Detailed information must be provided for each of the following items in the order in which they are listed.
(1) A complete description of the program or activity in which the exchange visitor is engaged, including factual evidence of the way in which the program or activity serves the national or international public interest.
(2) Evidence of the exchange visitor's essentiality to the program, and specific information describing the exchange visitor's research role and unique capabilities to contribute to the program over a long period of time.
(3) Information regarding the current personnel engaged in the program and how the exchange visitor's expertise is related to those individual roles.
(4) Evidence of efforts to recruit for the position to be filled by the exchange visitor and the results thereof. Copies of recruitment ads, placed in nationally circulated journals, should be supplied with specific information provided as to the results. It must be clearly demonstrated that a suitable replacement for the exchange visitor cannot be found through recruitment or any other means, and the position cannot be filled by any individual who is not subject to the foreign residence requirement. Salary level should be advertised at a fair market rate. Internet recruitment alone is not sufficient.
(5) The probable future of the program if the waiver is not granted, including specific evidence showing how the loss of the exchange visitor's services would seriously restrain the initiation, continuation, completion, or success of the program or activity, or a major part thereof.
(6) The applicant institution's long-range plans for the exchange visitor, and ways in which the visitor will contribute in the future to the activities in which he or she is employed.
(7) Information concerning the exchange visitor's qualifications, including evidence of special accomplishments and external letters of recommendation.
(8) The exchange visitor's curriculum vitae, bibliography and a sampling of the J-1’s most recent relevant publications, copies of all forms IAP-66 and/or DS-2019 and current visa status materials.
(9) Any other facts considered germane.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0001 . The time required to complete this information collection is estimated to average 10 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer
IMPORTANT INFORMATION:
A SINGLE COPY OF THE APPLICATION AND SUPPORTING INFORMATION SHOULD BE SUBMITTED, UNBOUND (EXCEPT FOR PUBLICATIONS).
APPLICANT INSTITUTIONS REPRESENTED BY LEGAL COUNSEL MUST INCLUDE FORM G-28, SIGNED BY THE APPROPRIATE OFFICIAL OF THE APPLICANT ORGANIZATION.
ALL APPLICATIONS MUST CONTAIN A SIGNATURE FROM THE INSTITUTIONS IMMIGRATION OFFICER.
TRANSMITTAL PACKAGES FROM LEGAL COUNSEL SHOULD CONTAIN NO PARAPHRASING OF APPLICANTS SUBMISSION OR EXHIBITS. SUBMIT BIOGRAPHIES ONLY FOR J-1.
Applications should be submitted to the following addresses:
Nicole Greene
Acting Executive Secretary
Exchange Visitor Waiver Review Board
Department of Health and Human Services
330 C Street, S.W.
Washington, D.C. 20201
(202) 260-0399
M.K. Berry
Bureau of Health Professions
Health Resources and Services Administration
Department of Health and Human Services
Parklawn Building, Room 8-67
5600 Fishers Lane
Rockville, MD 20857
(301) 443-4154
| File Type | application/msword |
| File Title | APPLICATION FOR WAIVER OF THE TWO-YEAR FOREIGN RESIDENCE REQUIREMENT OF THE EXCHANGE VISITOR PROGRAM |
| Author | user |
| Last Modified By | DHHS |
| File Modified | 2010-06-29 |
| File Created | 2010-06-29 |