Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application Checklist and Self-Certification Form Modified 8000 4000 0 Form NELRP_006 Application Checklist and Self-Verification Form
Authorization for Release of Employment Information Form Modified 8000 800 0 Form NELRP_006 Authorization for Release of Employment Information Form
Authorization to Release Information Form New 8000 800 0 Form NELRP_008 Authorization to Release Information Form
Certification Of Accreditation Status for School of Nursing Education Programs Form New 500 50 0 Form NELRP_010 Certification Of Accreditation Status for School of Nursing Education Programs Form
Certification Regarding Debarment, Suspension, Disqualification and Related Matters Form New 8000 800 0 Form NELRP_009 Certification Regarding Debarment, Suspension, Disqualification and Related Matters Form
Employment Verification and Critical Shortage Facility Form Modified 7500 3750 0 Form NELRP_003 Employment Verification and Critical Shortage Facility Form
Employment Verification for Nurse Faculty Appointment Form New 500 125 0 Form NELRP_004 Employment Verification for Nurse Faculty Appointment Form
Loan Information and Verification Form Modified 24000 24000 0 Form NELRP_2 Loan Information and Verification Form
Participant Semi-Annual Employment Verification Form Modified 4600 2300 0 Form 7 Emp Verification Form
Pre-Award Script Removed 0 0 0 Form 6 Pre-Award Script
The Nursing Education Loan Repayment Program Application Modified 8000 12000 0 Form and Instruction NELRP_001 Application Guidance and Forms
Instruction
The Verification of Acceptance or Decline of Award form New 1200 300 0 Form NELRP_11 The Verification of Acceptance or Decline of Award form
Total burden requested under this ICR: 78300 48925 0  
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