Supplementary Statement for Graduate Medical Trainees

ICR 199903-1115-008

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
12002 Migrated
ICR Details
1115-0108 199903-1115-008
Historical Active 199508-1115-006
DOJ/INS
Supplementary Statement for Graduate Medical Trainees
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 05/25/1999
Retrieve Notice of Action (NOA) 03/29/1999
Approved consistent with with change described in INS memo of 5-21-99. INS will delete OMB address from the burden statement. This collection had previously expired in 12-97, over a year prior to its reinstatement. INS shall ensure that such violations of the Paperwork Reduction Act do not occur in the future.
  Inventory as of this Action Requested Previously Approved
07/31/2002 07/31/2002
3,000 0 0
249 0 0
0 0 0

This form is used by foreign exchange visitors who are seeking an extension of stay in order to complete a program of graduate 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 3,000 0 0 3,000 0 0
Annual Time Burden (Hours) 249 0 0 249 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.
03/29/1999


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