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: 0915-0127	ICR Reference No: 200507-0915-002
Status: Historical Active	Previous ICR Reference No: 200504-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: The National Health Service Corps (NHSC) Loan Repayment Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/29/2005
	Date Received in OIRA: 07/06/2005
Terms of Clearance: Approved for two years, in the next submission of this collection of information HRSA shall provide a report on the status of offering electronic versions of forms associated with this_item.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2007	08/31/2007	07/31/2005
Responses	1,500	0	845
Time Burden (Hours)	2,163	0	1,211
Cost Burden (Dollars)	0	0	0

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