APPLICATION FOR WAIVER OF THE TWO-YEAR FOREIGN RESIDENCE REQUIREMENT OF THE EXCHANGE VISITOR PROGRAM

ICR 199007-0990-003

OMB: 0990-0001

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0990-0001 199007-0990-003
Historical Active 198706-0990-003
HHS/HHSDM
APPLICATION FOR WAIVER OF THE TWO-YEAR FOREIGN RESIDENCE REQUIREMENT OF THE EXCHANGE VISITOR PROGRAM
Revision of a currently approved collection   No
Regular
Approved without change 10/10/1990
Retrieve Notice of Action (NOA) 07/12/1990
  Inventory as of this Action Requested Previously Approved
10/31/1993 10/31/1993 10/31/1990
200 0 125
1,200 0 250
0 0 0

THE APPLICATION I USED BY INSTITUTIONS (EDUCATIONAL, HOSPITAL, ETC.) TO REQUEST A FAVORABLE RECOMMENDATION TO THE USIA FOR WAIVER OF THE TWO-YEAR FOREIG RESIDENCE REQUIREMENT OF THE EXCHANGE VISITOR PROGRAM ON BEHALF OF FOREIGN VISITORS WORKING IN AREAS OF INTEREST TO HHS.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR WAIVER OF THE TWO-YEAR FOREIGN RESIDENCE REQUIREMENT OF THE EXCHANGE VISITOR PROGRAM HHS 426

  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 200 125 0 0 75 0
Annual Time Burden (Hours) 1,200 250 0 0 950 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.
07/12/1990


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