Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Authorization to Release Information Form Modified 3300 660 0 Form 9 Authorization To Release Information
Confirmation of Interest Form Modified 200 40 0 Form and Instruction 3 Confirmation of Interest Form
Data Collection Worksheet Form Modified 600 600 0 Form 4 Data Collection Worksheet Form
Eligible Applications/Application Program Guidance Modified 3300 6600 0 Form 1 Nurse Corps SP Online Application User Guide
Graduation Close Out Form Modified 200 34 0 Form 5 Graduation Close Out Form
In Service Verification Form Modified 2000 240 0 Form 7 In Service Verification (Screenshots)
NC SP Employment Verification Form Modified 1000 420 0 Form 6 NC SP Employment Verification (Screenshot)
School Enrollment Verification Form Modified 1200 396 0 Form 2 School Enrollment Verification Form
Verification of Acceptance Form Modified 6600 2178 0 Form 8 Verification of Acceptance Form
Total burden requested under this ICR: 18400 11168 0  
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