Information Collection List

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