Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HRSA 512- Holder's/Call Report Modified 52 39 0 Form and Instruction HRSA 512 Holder's Report on HEAL
Repayment Schedule HRSA-502 1,2 Modified 3168 1584 0 Form and Instruction HRSA 502-2 Repayment Schedule-Fixed Rate
Form and Instruction HRSA 502-1 Repayment Schedule-Variable Rate 502-1
Total burden requested under this ICR: 3220 1623 0  
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