SEVIS DS 7000

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Catalog of Information Collection Requirements
Collection Vehicle: the Student and Exchange Visitor Information System (SEVIS)

# Respondents

# Responses

Potential
Sponsors

60

60

Total
Hours
480

Cost /
Response
$100

Comments

Description

62.5(a)

Any entity meeting the eligibility
requirements set forth in 62.3 may apply to
the Dperatment of State for designation as a
sponsor. Such application shall be made on
Form DS-3036 ("Exchange Visitor
Program Application) and filed with the
Department of State's Exchange VIistor
Program Services.\

62.5(b)

Proposed exchange program activity and
shall demonstrate its prospective ability to
comply with Exchange Visitor Program
regulations.

62.5(c)(1)

(1) Evidence of legal status as a
corporation, partnership, or other
legalentity (e.g., charter, proof of
incorporation, partnership agreement, as
applicable) and current certificate of good
standing;

62.5(c)(2)

(2) Evidence of financial responsibility as
set forth at Sec. 62.9(e);

Refer to 62.5c(1)

62.5(c)(3)

(3) Evidence of accreditation if the
applicant is a post-secondary educational
institution;

Refer to 62.5c(1)

62.5(c)(4)

(4) Evidence of licensure, if required by
local, state, or federal law, to carry out the
activity for which it is be designated;

Refer to 62.5c(1)

62.5(c)(5)

(5) Certification by the applicant (using the
language set forth in appendix A) that it
and its responsible officer and alternate
responsible officers are citizens of the
United States as defined at Sec. 62.2; and

On Form DS-3036. Included in burden in 62.5(a)

62.5(c)(6)

(6) Certification signed by the chief
executive officer of the applicant that the
responsible officer will be provided
sufficient staff and resources to fulfill
his/her duties and obligations on behalf of
the sponsor.

On Form DS-3036. Included in burden in 62.5(a)

SEVIS Burden accounting

Respondents

Hours /
Response
8

Section

Total Cost
$6,000

This information is collected on Department of State
Form DS-3036 through SEVIS.

On Form DS-3036. Refer to 62.5(a) for burden.

Potential
Sponsors

60

60

Page 1 of 9

1

60

$0

0

Routine business record

Attachment 1

Respondents

# Respondents

# Responses

Sponsors

700

700

Hours /
Response
0.5

Total
Hours
350

Cost /
Response
$3,987

Comments

Section

Description

Total Cost

62.7(b)

To apply for redesignation, a sponsor shall
advise the Exchange Visitor Program
Services by letter or by so indicating on the
annual report.

62.7(d)

A sponsor seeking redesignation should
notify the Department of State, as set forth
in (b) of this section, no less than four
months prior to the expiration date of its
designation. A sponsor seeking
redesignation may continue to operate its
program(s) until such time as the
Department of State notifies it of a decision
to amend or terminate its designation.

62.12(a)

Requests. Submit written requests to the
Department of State for a one year supply
of Forms DS-2019, and allow four to six
weeks for the distribution of these
forms….Additional forms may be
requested later in the year if needed by the
sponsor.

62.12(e)

(1) Maintain a record of all Forms DS-2019
received and/or issued by the sponsor

Automatically tracked by SEVIS.

(2) Make a record of damaged and
unusable Forms DS-2019 prior to
destruction.

The DS-2019 is generated by SEVIS so there
is no longer a chance of forms being damaged
before use. This provision is in the process of
being revised.

(3) Request exchange visitors and
prospective exchange visitors to return any
unused Form DS-2019 sent to them

DS-2019 are only printed at the time of use.
Exchange visitors are only given completed
DS-2019s. This provision is in the process of
being revised.
Automatically tracked by SEVIS.

$2,790,900

Form DS-3036 used. Each sponsor must apply for
redisignation once every two years. This burden is
not included in the totals 62.5(a).

SEVIS sends an automatically generated email
reminder to the sponsors, so that the burden in this
provision is not imposed. It will be eliminated in
the rewrite.

Sponsors

1415

1450

0.5

725

0

$0

(4) Make a record of Forms DS-2019
which are returned to the sponsor

1-2 submitted per sponsor per year through SEVIS.

62.13(a)

Written Notification of: (1) Change of its
address, telephone, or facsimile number;

62.13(a)

(2) Change in the composition of the
sponsoring organization which affects its
citizenship as defined by Sec. 62.2

Refer to 62.13(a)

62.13(a)

(3) Change of the responsible officer or
alternate responsible officers;

Refer to 62.13(a)

SEVIS Burden accounting

Sponsors

1415

200

15 min

Page 2 of 9

50.00

0

0

This information is collected on Department of State
Form DS-3037. Submitted through SEVIS. 1-2
responses per sponsor per year.

Attachment 1

Comments

(4) A major change of ownership or control
of the sponsor's organization;

Refer to 62.13(a)

62.13(a)

(5) Change in financial circumstances
which may render the sponsor unable to
comply with its obligations as set forth in
Sec. 62.9(e)

Refer to 62.13(a)

62.13(a)

(6) Loss of licensure or accreditation;

Sponsors

0

0

62.13(a)

(7) Loss or theft of Forms DS-2019 as
specified at Sec. 62.12(d)(3);
(8) Litigation related to the sponsor's
exchange visitor program, when the
sponsor is a party

There have been no occurences since the
implemtation of SEVIS.
Automatically tracked by SEVIS.

Sponsors

0

0

There have been no occurences since the
implemtation of SEVIS.

Sponsors

2

2

15 min

0.50

$0

$0

Submitted through SEVIS

Sponsor

1415

10,000

15 min

2,500

$0

$0

10,000 per year is the average number of responses
received.

1415

1415

1

1,415

$0

$0

Form DS-3097 (OMB #1405-0151). Submitted
through SEVIS.

62.13(c)

(9) Termination of its exchange visitor
program.
Written Notification when (1) The
exchange visitor has withdrawn from or
completed a program thirty (30) or more
days prior to the ending date on his or her
Form DS-2019 (2) The exchange visitor
has been terminated from his or her
program

# Responses

Cost /
Response

62.13(a)

62.13(a)

# Respondents

Total
Hours

Description

62.13(a)

Respondents

Hours /
Response

Section

Total Cost

62.15(a)

Submission to include: (a) Program report
and evaluation. A brief summary of the
activities in which exchange visitors were
engaged, including an evaluation of
program effectiveness

Sponsors

62.15(b)

Reciprocity. A description of the nature and
extent of reciprocity occurring in the
sponsor's exchange visitor program during
the reporting year;

Sponsors

Refer to 62.15(a)

62.15 (c)

Cross-cultural activities. A summary of the
cross-cultural activities provided for its
exchange visitors during the reporting year;

Sponsors

Refer to 62.15(a)

62.15 (d)

Proof of insurance. Certification of
compliance with insurance coverage
requirements set forth in Sec. 62.14.

SEVIS Burden accounting

Submitted through SEVIS on Form DS-3097. Refer
to 62.15(a) for the burden.

Page 3 of 9

Attachment 1

Respondents

# Respondents

# Responses

Hours /
Response

Total
Hours

Cost /
Response

Total Cost

Comments

Section

Description

62.15 (e)

Form DS-2019 usage includes: (1) The
total number of blank Forms DS-2019
received; (2) The total number of Forms
DS-2019 voided or destroyed; (3) The total
number of Forms DS-2019 issued to
potential exchange visitors that were
returned to the sponsor or not used for
entry into the United States; and (4) The
total number and document identification
number sequence of all blank Forms DS2019 in the possession of the sponsor on
the date of the report.

Submitted through SEVIS on Form DS-3097. Refer
to 62.15(a) for burden.

62.15 (f)

Program participation. A numerical count,
by category, of all exchange visitors
participating in the sponsor's program for
the reporting year.

Submitted through SEVIS on Form DS-3097. Refer
to 62.15(a) for burden.

62.15 (g)

Redesignation. Sponsors may indicate their
desire for redesignation, pursuant to Sec.
62.7, by marking the appropriate box on
their annual report.

Sponsors

700

700

Avg. 15 min

175

$0

$0

Submitted through SEVIS.

62.20(j)

Professors and research scholars may be
authorized program extensions as follows:

Sponsor

800

5,000

.5 hour

2,500

$0

$0

Submitted through SEVIS. The average
number of respondents is 800, with an average
of 5000 responses submitted per year.

(1) Responsible officer authorization. A
responsible officer may extend, in his or
her discretion and for a period not to
exceed six months, the three year period of
program participation permitted under Sec.
62.20(i). The responsible officer exercising
his or her discretion shall do so only upon
his or her affirmative determination that
such extension is necessary in order to
permit the research scholar or professor to
complete a specific project or research
activity.

(2) A request for Department of State
authorization to extend the period of
program participation for a professor or
research scholar shall: (i) Be submitted to
the Department of State, unless prevented
by extraordinary circumstance, no less than
60 days prior to the expiration of the
participant's permitted three year period of
program participation;

SEVIS Burden accounting

Page 4 of 9

Attachment 1

Section

Description

Respondents

# Respondents

# Responses

Hours /
Response

Total
Hours

Cost /
Response

Total Cost

Comments

(ii) Present evidence, satisfactory to the
Department of State, that such request is
justified due to exceptional or unusual
circumstances and is necessary in order to
permit the researcher or professor to
complete a specific project or research
activity.
62.25(m)

Placement report. In lieu of listing the
name and address of the host family and
school placement on a participant's Form
DS-2019, sponsors must, no later than
August 31st of each academic year, submit
to the Department of State a report of all
academic year program participants. Such
report shall set forth the participant's name,
school, and host family placements. A
report of semester participants entering
United States schools during the January to
June term shall be submitted to the
Department of State by January 15th.

Sponsors

120

120

.5 hour

60

$0

$0

"Secondary Student Placement Report." Submitted
through SEVIS. Reporting requirement.

62.30 (i)

Placement report. In lieu of listing the
name and address of the camp facility at
which the participant is placed on Form
DS-2019, sponsors shall submit to the
Department of State, no later than July 1st
of each year, a report of all participant
placements. Such report shall reflect the
participant's name, camp placement, and
the number of times the participant has
previously participated in a camp counselor
exchange.

Sponsors

33

33

1 hour

33

$50`

$1,650

"Camp Counselor Placement Report". Currently
this is submitted non-electronically. There is no
required format. The program office anticipates this
requirement will be incorporated into SEVIS in one
year. Reporting requirement.

62.31 (m)

Reporting requirements. Along with the
annual report required by regulations set
forth at Sec. 62.17, sponsors shall file with
the Department of State the following
information:

Sponsors

7

7

20

140

$100

$700

Au Pair Placement Report. Currently this is
submitted non-electronically. There is no
required format. The program office anticipates
this requirement will be incorporated into
SEVIS in one year. Reporting requirement.
Includes 3rd party disclosure.

(1) A summation of the results of an annual
survey of all host family and au pair
participants regarding satisfaction with the
program, its strengths and weaknesses;

SEVIS Burden accounting

Page 5 of 9

Attachment 1

Section

Description

Respondents

# Respondents

# Responses

Hours /
Response

Total
Hours

Cost /
Response

Total Cost

Sponsors

53

106

4

176

$20

$880

Comments

(2) A summation of all complaints
regarding host family or au pair
participation in the program, specifying the
nature of the complaint, its resolution, and
whether any unresolved complaints are
outstanding; (3) A summation of all
situations which resulted in the placement
of au pair participant with more than one
host family;

(4) A report by a certified public
accountant, conducted pursuant to a format
designated by the Department of State,
attesting to the sponsor's compliance with
the procedures and reporting requirements
set forth in this Subpart;
(5) A report detailing the name of the au
pair, his or her host family placement,
location, and the names of the local and
regional organizational representatives;
62.32 (h)

Placement report. In lieu of listing the
name and address of the participant's prearranged employer on the form DS-2019,
sponsors shall submit to the a report of all
participant placements. Sponsors shall
report the name, place of employment, and
the number of times each participant has
participated in a summer work travel
program. In addition, for participants
forwhom employment was not prearranged, the sponsor shall also list the
length of time it took for such participant to
find employment. Such report shall be
submitted semi-annually on January 30th
and July 31st of each year and shall reflect
placements made in the preceding six
month period.

SEVIS Burden accounting

Page 6 of 9

Attachment 1

Section

Description

62.41 (b)

A request for change of category along
with supporting justification must be
submitted to the Department of State by the
participant's sponsor. Upon Department of
State approval the sponsor shall issue to the
exchange visitor a duly executed Form DS2019 reflecting such change of category
and provide a notification copy of such
form to the Department of State.

62.43 (c)

100

Hours /
Response
Avg. 15 min

Total
Hours
25

Cost /
Response
$246

100

100

1

100

$246

$24,600

1000

1,000

0.5

500

$0

$0

Respondents

# Respondents

# Responses

Sponsor

100

Sponsors

Sponsor

Total Cost

Comments

$24,600

(2) Secure the prior written approval of the
Department of State for such extension.
62.45 (c)

(c) examples of technical or minor
infractions which you [the sponsor] are
authorized to correct:

Approximately 1000 corrections are made each
year.

(4) You [the sponsor] correct the record
status quo ante by issuing a Form DS-2019
or by writing an authorization letter to
reflect the continuity in the program or the
permission to engage in the activity that a
timely issued document would have
reflected.
(i) Forms DS-2019 should be: (A) Issued to
show continued authorized stay without
interruption; (B) Marked in the ``purpose''
box with the appropriate purpose (i.e.,
extension, transfer, etc.) and with the
additional notation of ``correct the record''
typed in; (C) Dated as of the date the Form
was actually executed; and,

(D) Submitted to the Department of State in
the same way as any other notification.
(ii) Letters or other authorization
documents should be: (A) Issued according
to the regulations in this part appropriate to
the category and the activity; (B) Marked
or annotated to show ``correct the record,''

SEVIS Burden accounting

Obsolete. This is now done through SEVIS.
This provision is being revised in the rewrite of
22 CFR Part 62.

Page 7 of 9

Attachment 1

Section

Description

Respondents

# Respondents

# Responses

Hours /
Response

Total
Hours

Cost /
Response

Total Cost

Comments

(C) Dated as of the date the letter or
document was actually executed; and, (D)
Attached to the exchange visitor's Form
DS-2019 and/or retained in the sponsor's
file as required by the regulations in this
part for that particular type of letter or
document.
62.45(e)

The following are substantive violations or
infractions of the regulations in this part by
the exchange visitor which require you to
apply to us for reinstatement to valid
program status:

Refer to burden for 62.45(h) below.

(1) Failure to maintain valid program status
for more than 120 days after the end date
on the current Form DS–2019;
(2) If a student, failure to maintain a full
course of study (as defined in § 62.2)
without prior consultation with you and the
exchange visitor’s academic advisor.
62.45(h)

(1) If you determine that the violation of
the regulations in this part is a substantive
one, and that the exchange visitor has failed
to maintain valid program status for 120
days or less, you must apply to us for
reinstatement of the exchange visitor to
valid program status. Your application
must include:

Sponsors

30

30

1

30

$246

$7,380

Application for reinstatement submitted through
SEVIS. Paper documentation sent via mail or
fax.

(i) All copies of the exchange visitor’s
Forms DS–2019 issued to date; (ii) A new,
completed Form DS–2019, showing in
Block 3 the date of the period for which
reinstatement is sought, i.e., the new
program end date; (iii) A copy of the
receipt showing that the Public Law 104–
208 fee has been paid; and, (iv) A written
statement (and documentary information
supporting such statement): [Please see the
regulation for the continuation of this text.]

SEVIS Burden accounting

Page 8 of 9

Attachment 1

Section

Description

Respondents

# Respondents

# Responses

Hours /
Response

Total
Hours

Cost /
Response

Comments

Total Cost

(2) If you determine that the violation of
the regulations is a substantive one, and
that the exchange visitor has failed to
maintain valid program status for more
than 120 days, then you must apply to us
for reinstatement of the exchange visitor to
valid program status. Your application
must include:
(i) Copies of all the exchange visitor’s
Forms DS–2019 issued to date; (ii) A new,
completed Form DS–2019, showing in
Block 3 the date for which reinstatement is
sought, i.e., the new program end date;
(iii) A copy of the receipt showing that the
Pub. L. 104–208 fee has been paid; and,
(iv) A written statement (together with
documentary evidence supporting such
statement): [Please see the regulation for
continuation of this text.]

62.90 (b)

Amounts of fees. The following fees are
prescribed:
(1) Request for program extension $246.

Sponsor

Refer to 62.43

(2) Request for change of program category
$246.

Sponsor

Refer to 62.41

(3) Request for reinstatement $246.

Sponsor

Refer to burden in 62.45(h).

(4) Request for program designation
$1,748.

Potential
sponsors

Refer to burden in 62.5(a).

(5) Request for non-routine handling of an
DS-2019 Form Request $43.

Sponsor

0 responses have been submitted since the
implementation of SEVIS

Appendix A

Certification of Responsible Officers

The text in Appendix A is part of Form DS3036. See Section 62.5(a) above for burden.

Appendix B

Exchange Visitor Program Application

The text in Appendix B is part of Form DS3036. See Section 62.5(a) above for burden.

Appendix C

Update of Information on ExchangeVisitor Program Sponsor

The text in Appendix C is part of Form DS3037. See Section 62.13(c) above for burden.

Appendix D

Annual Report--Exchange Visitor
Services

The text in Appendinx D can be found on Form
DS-3097. See Section 62.15(a) above for
burden.

TOTAL BURDEN:

SEVIS Burden accounting

200 Total

21,083

Total hours:

Page 9 of 9

9,319.50

Total Cost: $2,856,710

Attachment 1