Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
PS LRP Privacy Act Release Authorization Form New 500 250 0 Form and Instruction 7 Privacy Act Release Authorization Form
Pediatric Specialty LRP Authorization for Disclosure of Loan Information Form New 500 250 0 Form and Instruction 6 Pediatric Specialty LRP Auth for Disc of Loan Info Form
PS LRP Employment Verification Form New 500 250 0 Form and Instruction 8 PS LRP Employment Verification Form
Pediatric Specialty LRP Application New 500 250 0 Form and Instruction 5 Pediatric Specialty LRP Application
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Authorization for Disclosure of Loan Information Modified 3200 1600 0 Form and Instruction 2 Authorization for Disclosure of Loan Information Form
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Employment Verification Form Modified 3200 1600 0 Form and Instruction 4 STAR LRP Employment Verification Form
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Privacy Act Release Authorization Form Modified 3200 1600 0 Form and Instruction 3 STAR LRP Privacy Act Release Authorization Form
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Program Application Modified 3200 1600 0 Form and Instruction 1 STAR LRP Program Application Content
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Site Application Removed 0 0 0 Form and Instruction 5 FY 2021 STAR LRP Site Application.docx
Total burden requested under this ICR: 14800 7400 0  
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