PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Authorization for Disclosure of Loan Information
New
300
150
0
Form and Instruction
2
STAR LRP Program - Authorization for Disclosure of Loan Information Form.docx
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Employment Verification Form
New
300
150
0
Form and Instruction
4
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Employment Verification Form
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Privacy Act Release Authorization Form
New
300
150
0
Form and Instruction
3
STAR LRP Program - Privacy Act Release Authorization Form.docx
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Program Application
New
300
150
0
Form and Instruction
1
STAR LRP Program - Program Application Content.docx
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Site Application
New
400
400
0
Form and Instruction
5
FY 2021 STAR LRP Site Application.docx
Total burden requested under this ICR:
1600
1000
0
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