Appendix C to Part 514 - Update of Information on Exchange-Visitor Program Sponsor

Please amend the United States Information Agency records for Exchange-Visitor

Program Number assigned to ________ as follows: (Name of institution/organization)

1. Change the name of the Program Sponsor

from the above to

2. Change the address of the Program Sponsor

From: (city)(state)(zip)

To:

(city)(state)(zip)

3. () Change the telephone number from ____ to ____

() Change the fax number from ____ to ____

4. () Change the name of the Responsible Officer of the above program from ____ to ____

5. a. Delete the following Alternate Responsible Officer:

5. b. Add the following Alternate Responsible Officer:

(Citizenship is required for all Responsible and Alternate Responsible Officers-See Reverse)

6. () Send ___ (indicate number) IAP-66 forms. (PLEASE ALLOW FOUR TO SIX WEEKS FOR RESPONSE AND REMEMBER TO SUBMIT THE ANNUAL REPORT)

7. () Send ___ copies of this form.

8. () Send ___ copies of Codes for Educational and Cultural Exchange.

9. ( ) Cancel the above named Exchange Visitor Program.

(Signature of Responsible or Alternate Responsible Officer) (Date) (Title of Signing Officer)