View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0915-0036	ICR Reference No: 200508-0915-001
Status: Historical Active	Previous ICR Reference No: 200206-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/30/2005
	Date Received in OIRA: 08/05/2005
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2008	09/30/2008	09/30/2005
Responses	20,960	0	26,700
Time Burden (Hours)	3,767	0	4,958
Cost Burden (Dollars)	7,000	0	11,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	20,960	26,700	-5,740
Annual Time Burden (Hours)	3,767	4,958	-1,191
Annual Cost Burden (Dollars)	7,000	11,000	-4,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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