Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Authorization to Release Information Form New 7100 710 0 Form and Instruction 2
Confirmation of Interest Form New 500 100 0 Form and Instruction 5-1
Form and Instruction 5-2
Form and Instruction 5-3
Form and Instruction 5-4
Disadvantaged Background Form New 450 90 0 Form and Instruction 4
Employment Verification Form Modified 7100 710 0 Form and Instruction 3
NURSE Corps LRP Application Modified 7100 14200 0 Form and Instruction 1
Nurse Corps Crtiical Shortage Facility (CSF) Verification Form New 500 50 0 Form and Instruction 7
Nurse Corps Nurse Faculty Employment Verification Form New 450 90 0 Form and Instruction 8
Participant Semi-Annual in Service Verification Form New 1000 500 0 Form and Instruction 6
Total burden requested under this ICR: 24200 16450 0  
To view an IC, click on IC Title