Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application Checklist and Self-Certification Form Removed 0 0 0 Form NELRP_006
Authorization for Release of Employment Information Form Modified 5500 550 0 Form 2
Authorization to Release Information Form Modified 5500 550 0 Form 1
Instruction
Certification Of Accreditation Status for School of Nursing Education Programs Form Removed 0 0 0 Form NELRP_010
Certification Regarding Debarment, Suspension, Disqualification and Related Matters Form Removed 0 0 0 Form NELRP_009
Employment Verification and Critical Shortage Facility Form Removed 0 0 0 Form NELRP_003
Employment Verification for Nurse Faculty Appointment Form Removed 0 0 0 Form NELRP_004
Loan Information and Verification Form Removed 0 0 0 Form NELRP_2
Participant Semi-Annual Employment Verification Form Modified 4600 2300 0 Form and Instruction 4
The Nursing Education Loan Repayment Program Application Modified 5500 11000 4125 Form and Instruction 3
The Verification of Acceptance or Decline of Award form Removed 0 0 0 Form NELRP_11
Total burden requested under this ICR: 21100 14400 4125  
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