Supplementary Statement for Graduate Medical Trainees

ICR 200205-1115-007

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
12003 Migrated
ICR Details
1115-0108 200205-1115-007
Historical Active 199903-1115-008
DOJ/INS
Supplementary Statement for Graduate Medical Trainees
Extension without change of a currently approved collection   No
Regular
Approved without change 07/18/2002
Retrieve Notice of Action (NOA) 05/24/2002
INS' request for a waiver to not display the expiration date on this form is denied. The agency must assure that this date is included on the form.
  Inventory as of this Action Requested Previously Approved
07/31/2005 07/31/2005 07/31/2002
3,000 0 3,000
249 0 249
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 3,000 0 0 0 0
Annual Time Burden (Hours) 249 249 0 0 0 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.
05/24/2002


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