Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Academic Problem/Change New 50 7 0
Accept/Decline New 650 87 0
Address Change Notice New 25 0 0
Checklist New 1500 200 0
Course Verification New 1500 200 0
Enrollment New 1300 173 0
Faculty/Employer Evaluation New 3000 2500 0
Federal Debt New 1500 200 0
Health Professions Contract New 650 33 0
Justification New 1500 1125 0
MPH New 25 21 0
Notice of Graduation New 250 42 0
Placement New 250 46 0
Preferred Assignment New 200 150 0
Receipt of Application New 1500 50 0
Request Assistance New 217 29 0
Request Summer School New 193 19 0
Request Travel Reimbursement New 150 15 0
Request for Deferment New 20 3 0
Scholarship Application Modified 1500 1500 0 Form and Instruction multiple forms
Form and Instruction multiple forms
Scholoarship Program Agreement New 850 43 0
Site Preference New 150 20 0
Status Report New 250 63 0
Stipend Check New 100 13 0
Total burden requested under this ICR: 17330 6539 0  
To view an IC, click on IC Title