# Agency Information Collection Request; 30-Day Public Comment Request
**AGENCY:**
Office of the Secretary, HHS.
**ACTION:**
Notice.
**SUMMARY:**
In compliance with the requirement of the Paperwork Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is publishing the following summary of a proposed collection for public comment.
**DATES:**
Comments on the ICR must be received on or before February 18, 2020.
**ADDRESSES:**
Submit your comments to *[email protected]* or via facsimile to (202) 395-5806.
**FOR FURTHER INFORMATION CONTACT:**
Sherrette Funn, *[email protected]* or (202) 795-7714. When submitting comments or requesting information, please include the document identifier 0990-0001-30D and project title for reference.
**SUPPLEMENTARY INFORMATION:**
Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden.
*Information Collection Request Title:* Application for waiver of the two- year foreign residence requirement of the Exchange Visitor Program.
*OMB No.:* 0990-0001.
*Abstract:* The HHS program deals with both research and clinical care waivers. Applicant institutions apply to this Department to request a waiver on behalf of research scientists or foreign medical graduates to work as clinicians in HHS designated health shortage areas doing primary care in medical facilities. The instructions request a copy of Form G-28 from applicant institutions represented by legal counsel outside of the applying institution. United States Department of Justice Form G-28 ascertains that legal counsel represents both the applicant organization and the exchange visitor.
*Need and Proposed Use of the Information:* Required as part of the application process to collect basic information such as name, address, family status, sponsor and current visa information.
*Likely Respondents:* Research scientists and research facilities.
| Type of respondent | Form name | Number of | Number of | Average | Total burden |
| --- | --- | --- | --- | --- | --- |
| Application Waiver/Supplemental A Research | HHS 426 | 45 | 1 | 10 | 450 |
| Application Waiver/Supplemental B Clinical Care | HHS 426 | 35 | 1 | 10 | 350 |
| Total | | | | | 800 |
Terry Clark,
Office of the Secretary, Asst Paperwork Reduction Act Reports Clearance Officer.