View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Participant and Employer Feedback Surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NIFA -09-10	Service Verification	VMLRP - NIFA-09-10 - Service Verification.pdf		Yes	Yes	Fillable Printable
Form	NIFA -08-10	Recommendation Form	VMLRP - NIFA-08-10 - Recommendation Form.pdf		Yes	Yes	Fillable Printable
Form	NIFA-07-10	Intent of Employment	VMLRP - NIFA-07-10 - Intent of Employment.pdf		Yes	Yes	Fillable Printable
Form	NIFA -06-10	Certification for Application	VMLRP - NIFA-06-10 - Certifications for Application.pdf		Yes	Yes	Fillable Printable
Form	NIFA -05-10	Contract	VMLRP - NIFA-05-10 - Contract_OMB update.pdf		Yes	Yes	Fillable Printable
Form	NIFA -04-10	Loan Information	VMLRP - NIFA-04-10 - Loan Information Form.pdf		Yes	Yes	Fillable Printable
Form	NIFA -03-10	List of Recommenders	VMLRP - NIFA-03-10 - List of Recommenders.pdf		Yes	Yes	Fillable Printable
Form	NIFA -01-10	Applicant Information	VMLRP - NIFA-01-10 - Applicant Information.pdf		Yes	Yes	Fillable Printable
Form	NIFA -02-10	Personal Statement	VMLRP - NIFA-02-10 - Personal Statement FY17_update.doc		Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title: Veterinary Medicine Loan Repayment Program	FR Citation: 75 FR 77607

Number of Respondents: 41,550	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	41,550	0	0	0	0	41,550
Annual IC Time Burden (Hours)	11,798	0	0	0	0	11,798
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.