View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Faculty Loan Repayment Program Application
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes No Fillable Fileable
Form and Instruction 2 Yes Yes Fillable Fileable
Form 3 Yes Yes Fillable Fileable
Form and Instruction 4 Yes Yes Fillable Fileable

Health Health Care Services

HHS/HRSA/BHW Scholarship and Loan Repayment Program Records, 09–15–0037  86 FR 28362

860 0
   
Individuals or Households
 
   100 %

  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 860 0 116 0 0 744
Annual IC Time Burden (Hours) 527 0 71 0 0 456
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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