Exchange Visitor Program Annual Report

Forms and Documents

Document Name	Status
Form DS-3097 Exchange Visitor Program Annual Report Form and Instruction	Modified
Legal Authorities (4-2012).doc Supplementary Document	2012-04-10
Supporting Statement EV Annual report REVISED (11-12).docx Supporting Statement A	2012-11-13

IC Document Collections

IC ID	Document Title	Status
15038	Exchange Visitor Program Annual Report Form and Instruction	Modified

ICR Details

OMB Control No: 1405-0151	ICR Reference No: 201204-1405-003
Status: Historical Active	Previous ICR Reference No: 201102-1405-006
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Exchange Visitor Program Annual Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/03/2013
	Date Received in OIRA: 04/10/2012
Terms of Clearance: The Department of State is given an abbreviated two-year approval. During this time, the Department of State will continue to develop SEVIS II, which will allow this collection to be submitted electronically.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	01/31/2013
Responses	1,435	0	1,460
Time Burden (Hours)	2,870	0	2,920
Cost Burden (Dollars)	129,150	0	0

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Abstract: The Exchange Visitor Program Annual Report (Form DS-3097) is used by United States Government agencies and public and private organizations to annually report exchange visitor activites to the Department of State as set forth in 22 CFR 62.15

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Authorizing Statute(s): US Code: 22 USC 2451 et seq. Name of Law: Mutual Educational and Cultural Exchange Act of 1961
   PL: Pub.L. 87 - 256 75 Name of Law: The 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:
	76 FR 239	12/13/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 66	04/05/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Exchange Visitor Program Annual Report	DS-3097	Exchange Visitor Program Annual Report

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ICR Summary 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	1,435	1,460	0	0	-25	0
Annual Time Burden (Hours)	2,870	2,920	0	0	-50	0
Annual Cost Burden (Dollars)	129,150	0	0	0	129,150	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden change is due to decrease in number of respondents and recalculation of respondent costs.

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Annual Cost to Federal Government: $46,800

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 04/10/2012

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