Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
0127 NHSC Authorization to Release Information Form New 1920 192 0 Form lfp release information
0127 NHSC Checklist New 1920 384 0 Form lrp checklist
0127 NHSC Community Site Information Form New 1920 480 0 Form lrp community site form
0127 NHSC Lender New 80 20 0 Form lrp loan form
0127 NHSC Loan Information and Verification Form New 5760 1440 0 Form lrp verification
The National Health Service Corps (NHSC) Loan Repayment Program Modified 1920 960 0 Form nhsc lrp
Total burden requested under this ICR: 13520 3476 0  
To view an IC, click on IC Title