Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Status Report Modified 200 50 0 Form and Instruction IHS-856-16
Change of Name or Address Modified 20 3 0 Form and Instruction IHS-856-22
Change of Status Modified 50 21 0 Form and Instruction IHS-856-10
Health Professions Contract Modified 225 38 0 Form IHS 818
IHS Scholarship Program Application Unchanged 850 850 0 Other-Web Site Apps
Lost Stipend Payment Removed 0 0 0 Form IHS-856-19
Notice of Impending Graduation Removed 0 0 0 Form IHS-856-13
Notification of Academic Problem Modified 20 3 0 Form and Instruction IHS-856-9
Notification of Deferment Program Modified 60 8 0 Form and Instruction IHS-856-14
Notification of Impending Graduation New 170 28 0 Form and Instruction IHS-856-13
Placement Update Modified 170 31 0 Form and Instruction IHS-856-15
Preferred Placement Modified 150 75 0 Form and Instruction IHS-856-12
Progress Report - Recipient's Initial Report Modified 800 107 0 Form and Instruction IHS-856-8
Request for Approval of Deferment Modified 60 8 0 Form and Instruction IHS-856-11
Request for Credit Validation Removed 0 0 0 Form IHS-856-23
Scholarship Program Agreement Modified 60 10 0 Form IHS-817
Summer School Request Modified 100 10 0 Form and Instruction IHS-856-21
Verification of Acceptance or Decline of Award Modified 300 40 0 Form and Instruction IHS-856-7
Total burden requested under this ICR: 3235 1282 0  
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