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

Link to an amendment published at 79 FR 60317, October 6, 2014.

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.

 

Date