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
Confirmation of Interest Form Modified 989 198 0 Form and Instruction 4
Disadvantaged Background Form Removed 0 0 0 Form and Instruction 5
Employment Verification Form Modified 6450 645 0 Form and Instruction 7
NURSE Corps LRP Application Modified 6450 12900 0 Form and Instruction 8
Nurse Corps Crtiical Shortage Facility (CSF) Verification Form Modified 989 99 0 Form and Instruction 2
Nurse Corps Nurse Faculty Employment Verification Form Modified 388 78 0 Form and Instruction 1
Participant Semi-Annual in Service Verification Form Modified 1978 989 0 Form and Instruction 3
Total burden requested under this ICR: 23694 15554 0  
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