View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0917-0006	ICR Reference No: 200111-0917-002
Status: Historical Active	Previous ICR Reference No: 199805-0917-001
Agency/Subagency: HHS/IHS	Agency Tracking No:
Title: IHS Scholarship Program Application
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/05/2001
	Date Received in OIRA: 11/30/2001
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2004	12/31/2004
Responses	15,830	0	0
Time Burden (Hours)	7,356	0	0
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
IHS Scholarship Program Application	IHS-856, 856-2--856-8, IHS-815-818, D-02, F-02, F-04, G-02, G-04, H-07, H-08

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