Information Collection

Certificate of Eligibility for Exchange Visitor (J-1) Status

IC 14980 under ICR 201105-1405-001 · OMB 1405-0119.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0119 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-2019 Certificate of Eligibility for Exchange Visitor (J-1) Status	Form and Instruction
DS-2019 Certificate of Eligibility for Exchange Visitor (J-1) St DS2019.pdf	Form and Instruction
DS-2019 Certificate of Eligibility for Exchange Visitor (J-1) St DS-2019 Electronic Screen shots.doc	Form and Instruction
DS-2019 Certificate of Eligibility for Exchange Visitor (J-1) St DS-2019 - Sample 2011.pdf	Form and Instruction

IC Title:

Certificate of Eligibility for Exchange Visitor (J-1) Status

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-2019	Certificate of Eligibility for Exchange Visitor (J-1) Status	DS2019.pdf	Yes	Yes	Fillable Printable
Form and Instruction	DS-2019	Certificate of Eligibility for Exchange Visitor (J-1) Status	DS-2019 Electronic Screen shots.doc	Yes	Yes	Fillable Printable
Form and Instruction	DS-2019	Certificate of Eligibility for Exchange Visitor (J-1) Status	DS-2019 - Sample 2011.pdf	Yes	Yes	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	350,000	350,000
Annual IC Time Burden (Hours)	262,500	262,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.