J-1 Au pair Check-In

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0193 can be found here:

Documents and Forms

Document Name Document Type
J-1 Au pair Check-In Form and Instruction
Au Pair Survey Au Pair Survey.pdf Form and Instruction
Au Pair Survey Au Pair Survey.pdf Form and Instruction
Au pair survey PRA.pdf Request for Approval IC Document
Au pair survey PRA.pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	J-1 Au pair Check-In	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Au Pair Survey	Au Pair Survey.pdf		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title: The Privacy Act of 1974	FR Citation: 85 FR 42966

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	Au pair survey PRA.pdf	04/07/2021

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