Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Participation in the National Health Service Corps Scholarship Program Modified 1800 6155 0 Form NHSC_SP_001
Instruction
Form NHSC_SP_002
Data Collection Worksheet - School/Site Form New 400 400 0 Form NHSC_SP_003
Deferment Request Form - Participant Form New 60 15 0 Form NHSC_SP_005
Six-Month Service Obligation Verification Form - School/Sites Forms New 1400 700 0 Form NHSC_SP_004
Total burden requested under this ICR: 3660 7270 0  
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