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
Authorization to Release Information Form
Modified
6450
645
0
Form and Instruction
6
NC LRD Authorization to Release Information Form
Confirmation of Interest Form
Modified
989
198
0
Form and Instruction
4
Confirmation of Interest Form
Disadvantaged Background Form
Removed
0
0
0
Form and Instruction
5
Disadvantaged Background Form
Employment Verification Form
Modified
6450
645
0
Form and Instruction
7
Employment Verification Form
NURSE Corps LRP Application
Modified
6450
12900
0
Form and Instruction
8
LRP Application User Guide
Nurse Corps Crtiical Shortage Facility (CSF) Verification Form
Modified
989
99
0
Form and Instruction
2
NC LRP Employment Verification Form
Nurse Corps Nurse Faculty Employment Verification Form
Modified
388
78
0
Form and Instruction
1
Nurse Corps Nurse Faculty Employment Verification Form
Participant Semi-Annual in Service Verification Form
Modified
1978
989
0
Form and Instruction
3
Participant Semi-Annual In Service Verification Form
Total burden requested under this ICR:
23694
15554
0
To view an IC, click on IC Title