22 C.F.R. Appendix D to Part 62—Annual Report—Exchange Visitor Program Services (GC/V), Department of State, Washington, DC 20547, (202–401–7964)


Title 22 - Foreign Relations


Title 22: Foreign Relations
PART 62—EXCHANGE VISITOR PROGRAM
Subpart H—Fees

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Appendix D to Part 62—Annual Report—Exchange Visitor Program Services (GC/V), Department of State, Washington, DC 20547, (202–401–7964)

Exchange Visitor Program No. ___ Reporting Period ___ Provide Range of Forms IAP–66 Documents Covered by this Report (___-___).

(a) STATISTICAL REPORT

(1) ACTIVITY BY CATEGORY

                                                                  Number Professor...................................................        ____Research Scholar............................................        ____Short-term Scholar..........................................        ____Trainee.....................................................        ____Student (College and University)............................        ____Student (Practical Trainee).................................        ____Teacher.....................................................        ____Student (Secondary).........................................        ____Specialists.................................................        ____Physicians..................................................        ____International Visitors......................................        ____Government Visitors.........................................        ____Camp Counselors.............................................        ____                                                             -----------    Total...................................................        ____                                                             ===========(2) Forms IAP-66 Reconciliation(i) Number of Forms IAP-66 voided or otherwise not used by participant ____...........................................(ii) Number of Forms IAP-66 issued for dependents ____......(iii) Number of Forms IAP-66 currently on hand ____......... 

(b) PROGRAM EVALUATION

On a separate sheet, please provide a brief narrative report on program activity, difficulties encountered and their resolution, program transfers, anticipated growth and the proposed new activity, cross-cultural activities, as well as the reciprocal component of the program.

I, The Responsible Officer of the program indicated above, certify that we have complied with the insurance requirement (22 CFR 514.14). I also certify that the information contained in this report is complete and correct to the best of my knowledge and belief.

____________________

Responsible Officer  (signed)

Date____________________
____________________

Name and address of sponsoring institution

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