Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HRSA 512- Holder's/Call Report Modified 60 45 0 Form and Instruction 1 512
Repayment Schedule HRSA-502 1,2 Modified 350 175 0 Form and Instruction 2 502-2
Form and Instruction 1 502-1
Total burden requested under this ICR: 410 220 0  
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