DOS- Sponsored Academic Exchange Program Application

OMB Control No: 1405-0138	ICR Reference No: 201109-1405-004
Status: Historical Active	Previous ICR Reference No: 200809-1405-003
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: DOS- Sponsored Academic Exchange Program Application
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 without change	Conclusion Date: 02/05/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/20/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2015	36 Months From Approved	02/29/2012
Responses	7,160	0	6,638
Time Burden (Hours)	5,370	0	4,978
Cost Burden (Dollars)	1,200	0	0

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Abstract: Under the Mutual Education and Cultural Exchange (Fulbright-Hays) Act of 1961, the Bureau of Educational and Cultural Affairs (ECA) is responsible for managing, coordinating, and overseeing certain programs established pursuant to the Act. ECA uses the data collected from these applications to determine whether prospective candidates are qualified for participating in DOS-sponsored academic exchange programs.

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Authorizing Statute(s): PL: Pub.L. 877 - 256 2451 Name of Law: Fulbright - Hayes Act

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 87	05/05/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 181	09/19/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title Form No. Form Name Global Undergraduate Exchange Program Application DS-7005 Global Undergraduate Exchange Program Application Edmund Muskie Graduate Fellowship Application DS-7001 Edmund Muskie Graduate Fellowship Application

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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	7,160	6,638	0	0	522	0
Annual Time Burden (Hours)	5,370	4,978	0	0	392	0
Annual Cost Burden (Dollars)	1,200	0	0	0	1,200	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 changes due to change in number of respondents and postage costs to mail applications.

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Annual Cost to Federal Government: $18,500

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

Agency Contact: Micaela Iovine 202 632-3256

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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: 09/20/2011

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