Fulbright Teacher Exchange Program Application Package

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DS-7004 Fulbright Teacher Exchange Program Hosting Application	Form and Instruction	New	Available
Form DS-7003 Fulbright Application for Teaching and Administrative Exchanges to the United States	Form and Instruction	New	Available
Form DS-4502 Fulbright Application for Teaching and Administrative Exchanges and Seminars Abroad	Form and Instruction	Modified	Available
Supporting Statement Fulbright 30 day.doc	Supporting Statement A	Uploaded 2008-09-25	Available
Legal Authorities.doc	Supplementary Document	Uploaded 2008-09-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186713	Fulbright Teacher Exchange Program Hosting Application	Form and Instruction	New
186712	Fulbright Application for Teaching and Administrative Exchanges to the United States	Form and Instruction	New
14970	Fulbright Application for Teaching and Administrative Exchanges and Seminars Abroad	Form and Instruction	Modified

ICR Details

OMB Control No: 1405-0114	ICR Reference No: 200809-1405-004
Status: Historical Active	Previous ICR Reference No: 200508-1405-001
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Fulbright Teacher Exchange Program Application Package
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/21/2008
	Date Received in OIRA: 09/25/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2011	36 Months From Approved	11/30/2008
Responses	1,200	0	950
Time Burden (Hours)	2,350	0	2,850
Cost Burden (Dollars)	0	0	0

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Abstract: Under the Mutual Educational and Cultural Exchange (Fulbright-Hays) Act of 1961, as amended, the Fulbright Teacher Exchange Program offers six-week, semester, and academic-year exchanges and seminar opportunities to U.S. educators. The data collected is used to determine whether prospective candidates are qualified for participation in the program or to host international participants.

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Authorizing Statute(s): US Code: 22 USC 2452(a)(1) and 2456(a) Name of Law: Mutual Educational and Cultural Exchange (Fulbright-Hays) Act of 1961
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 102	05/27/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 186	09/24/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Fulbright Application for Teaching and Administrative Exchanges and Seminars Abroad	DS-4502	Application for Teaching and Administrative Exchanges and Seminars Abroad
Fulbright Application for Teaching and Administrative Exchanges to the United States	DS-7003	Application for Teaching and Administrative Exchanges to the United States
Fulbright Teacher Exchange Program Hosting Application	DS-7004	Teacher Exchange Program Hosting Application

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ICR Summary of Burden

table that charts list of burden

	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	1,200	950	0	250	0	0
Annual Time Burden (Hours)	2,350	2,850	0	-500	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Due to the inclusion of two new forms (the international teacher application and hosting application) we anticipate a net increase of responses and respondents from 950 to 1,200. However, due to simplification of the forms we expect a decrease in burden hours from 2,850 to 2,350.

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Annual Cost to Federal Government: $6,396,466

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/25/2008

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