SUPPLEMENTARY STATEMENT FOR GRADUATE MEDICAL TRAINEES

ICR 198512-1115-005

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
119714 Migrated
ICR Details
1115-0108 198512-1115-005
Historical Active 198208-1115-001
DOJ/INS
SUPPLEMENTARY STATEMENT FOR GRADUATE MEDICAL TRAINEES
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 02/03/1986
Retrieve Notice of Action (NOA) 12/11/1985
  Inventory as of this Action Requested Previously Approved
02/28/1988 02/28/1988
5,000 0 0
415 0 0
0 0 0

THIS FORM IS USED BY FOREIGN EXCHANGE VISITORS WHO ARE SEEKING EXTENSION OF STAY IN ORDER T COMPLETE A PROGRAM OF GRADUATE MEDICAL EDUCATION AND TRAINING.

None
None


No

1
IC Title Form No. Form Name
SUPPLEMENTARY STATEMENT FOR GRADUATE MEDICAL TRAINEES 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 0 5,000 0
Annual Time Burden (Hours) 415 0 0 0 415 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
12/11/1985


© 2024 OMB.report | Privacy Policy