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: 200801-0917-002
Status: Historical Active	Previous ICR Reference No: 200405-0917-001
Agency/Subagency: HHS/IHS	Agency Tracking No:
Title: Application for Participation in the IHS Scholarship Program
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/04/2008
	Date Received in OIRA: 01/31/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	36 Months From Approved
Responses	17,330	0	0
Time Burden (Hours)	6,539	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	17,330	0	17,330
Annual Time Burden (Hours)	6,539	1,003	5,536
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This a reinstatement of a previously approved submission. Although the forms have not changed the public will have increased elctronic access to them.

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.