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	NHSC_SP_001
					Instruction
					Form	NHSC_SP_002	Acceptance & Declination Form
Data Collection Worksheet - School/Site Form	New	400	400	0	Form	NHSC_SP_003	Data Collection Worksheet
Deferment Request Form - Participant Form	New	60	15	0	Form	NHSC_SP_005	Deferment Request Form
Six-Month Service Obligation Verification Form - School/Sites Forms	New	1400	700	0	Form	NHSC_SP_004	Six-Month Service Obligation Verification Form
Total burden requested under this ICR:		3660	7270	0
To view an IC, click on IC Title