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

View Information Collection (IC)

IHS Loan Application 0917-0014
 
No Unchanged
 
Voluntary
 
5 CFR 1320

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0917-0014 http://www.ihs.gov/loanrepayment/applynow/ Yes Yes Fillable Fileable Signable
Form and Instruction 0917-0014 http://www.ihs.gov/loanrepayment/applynow/ Yes Yes Fillable Fileable Signable
Form and Instruction 0917-0028 http://www.ihs.gov/loanrepayment/applynow/ Yes Yes Fillable Fileable Signable

Education Higher Education

 

1,999 0
   
Individuals or Households
 
   100 %

  Requested 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 1,999 0 0 0 1,999 0
Annual IC Time Burden (Hours) 2,999 0 0 0 2,999 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
60 Day Federal Register Notice for 0917-0014, Loan Repayment Program 06/22/2015
0917-0014, Published 60 Day Federal Register Notice, Loan Repayment Program 06/22/2015
0917-0014, 30 Day Federal Register Notice for Loan Repayment Program 06/22/2015
OMB No. 0917-0014, Published Federal Register Notice for Loan Repayment Program 06/22/2015
Supporting Statement for OMB No. 0917-0014, Loan Repayment Program 06/23/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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