PA usually takes 3-4 weeks to submit to DOS. Then, DOS takes 4-6 weeks to submit to USCIS. Then, it is variable. Sometimes, the H1B gets approved before the J1 waiver. In this case, one can start working however the J1 waiver clock only starts when you get the J1 waiver approval. One option is to approach USCIS and let them know of H1B approval and request adjudication of the J1 waiver as well. That is what I did. You can get H1B in 15 days with premium processing.
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