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Application waiver Supplemental A Research
Application of Waiver of the 2 Year Foreign Residence Requirement of the Exchange Visitor Program
OMB: 0990-0001
IC ID: 10278
OMB.report
HHS/HHSDM
OMB 0990-0001
ICR 202001-0990-002
IC 10278
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0001 can be found here:
2023-07-27 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form 426
Application waiver Supplemental A Research
Form
0990-0001waiver application.doc
Other-form
426 Application
0990-0001_waiver-supplementary_A info.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application waiver Supplemental A Research
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
45 CFR 50.CFR
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
426
Application
0990-0001_waiver-supplementary_A info.doc
No
No
Paper Only
Other-form
0990-0001waiver application.doc
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
45
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
45
0
0
0
0
45
Annual IC Time Burden (Hours)
450
0
0
0
0
450
Annual IC Cost Burden (Dollars)
56,250
0
0
0
0
56,250
Documents for IC
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.