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 3600 0 Form and Instruction 1
Instruction
NHHSP - Acceptance/Verification of Good Standing Report Removed 0 0 0 Form and Instruction 1
NHSC SP Authorization to Release Information Modified 1800 180 0 Form and Instruction 1
NHSC SP Letters of Recommendation Modified 3600 1800 0 Form and Instruction 1
NHSC SP – Acceptance/Verification of Good Standing Report Modified 1800 450 0 Form and Instruction 1
NHSC SP – Data Collection Worksheet Modified 400 400 0 Form and Instruction 1
NHSC SP – Enrollment Verification Form Modified 1200 600 0 Form and Instruction 1
NHSC SP – Post Graduate Training Verification Form Modified 100 50 0 Form and Instruction 1
NHSC SP – Receipt of Exceptional Financial Need Scholarship Modified 200 50 0 Form and Instruction 1
NHSC SP – Verification of Disadvantaged Background Modified 300 75 0 Form and Instruction 1
NHSC Students to Service Program Application Modified 100 200 0 Form and Instruction 1
Instruction
Native Hawaiian Health Scholarship Program Application Modified 1360 528 0 Form and Instruction 1
Instruction
Form 2
Form 3
Form 4
S2S LRP – Authorization to Release Information Modified 100 10 0 Form and Instruction 1
S2S LRP - Letters of Recommendation Modified 200 100 0 Form and Instruction 1
Form and Instruction 2
S2S LRP - Post Graduate Training Verification Form Removed 0 0 0 Form and Instruction 1
S2S LRP - Receipt of Exceptional Financial Need Scholarship Removed 0 0 0 Form 1
S2S LRP - Verification of Disadvantaged Background Modified 25 6 0 Form and Instruction 1
S2S LRP – Acceptance/Verification of Good Standing Report Modified 100 25 0 Form and Instruction 1
Total burden requested under this ICR: 13085 8074 0  
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