Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
PS LRP Privacy Act Release Authorization Form Modified 500 250 0 Form and Instruction 7 PS LRP Privacy Act Release Authorization Form
Pediatric Specialty LRP Authorization for Disclosure of Loan Information Form Modified 500 250 0 Form and Instruction 6 PS LRP Auth for Disc of Loan Info Form
PS LRP Employment Verification Form Modified 500 250 0 Form and Instruction 8 PS LRP Employment Verification Form
Pediatric Specialty LRP Application Modified 500 250 0 Form and Instruction 5 PS LRP Application
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Authorization for Disclosure of Loan Information Modified 1700 850 0 Form and Instruction 2 STAR LRP Authorization for Disclosure of Loan Information Form
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Employment Verification Form Modified 1700 850 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 1700 850 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 1700 850 0 Form and Instruction 1 STAR LRP Program Application
Total burden requested under this ICR: 8800 4400 0  
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