SUPPLEMENTARY STATEMENT FOR GRADUATE MEDICAL STUDENTS

ICR 198208-1115-001

OMB: 1115-0108

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
119713 Migrated
ICR Details
1115-0108 198208-1115-001
Historical Active
DOJ/INS
SUPPLEMENTARY STATEMENT FOR GRADUATE MEDICAL STUDENTS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/04/1982
Retrieve Notice of Action (NOA) 08/30/1982
  Inventory as of this Action Requested Previously Approved
09/30/1985 09/30/1985
5,000 0 0
417 0 0
0 0 0

THIS FORM COLLECTS INFORMATION AND THE AFFIRMATION OF AN ALIEN GRADUAT MEDICAL TRAINEE THAT HE OR SHE IS IN GOOD STANDING IN AN EXCHANGE VISITOR PROGRAM AS REQUIRED BY THE IMMIGRATION AND NATURALIZATION ACT. THIS FORM MUST BE FILED ANNUALLY IN ORDER FOR THE TRAINEE TO SECURE AN EXTENSION OF STAY AS A NONIMMIGRANT EXCHANGE VISITOR.

None
None


No

1
IC Title Form No. Form Name
SUPPLEMENTARY STATEMENT FOR GRADUATE MEDICAL STUDENTS I-644

  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 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 417 0 0 417 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/30/1982


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