Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
0127 NHSC Authorization to Release Information Form Modified 4433 443 0 Form lfp release information
0127 NHSC Checklist Modified 4433 887 0 Form lrp checklist
0127 NHSC Community Site Information Form Modified 4433 1108 0 Form lrp community site form
0127 NHSC Lender Modified 80 50 0 Form lrp loan form
0127 NHSC Loan Information and Verification Form Modified 13299 3325 0 Form lrp verification
The National Health Service Corps (NHSC) Loan Repayment Program Modified 4433 2217 0 Form nhsc lrp
Total burden requested under this ICR: 31111 8030 0  
To view an IC, click on IC Title