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: 0915-0036	ICR Reference No: 200807-0915-002
Status: Historical Active	Previous ICR Reference No: 200508-0915-001
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: 09/08/2008
	Date Received in OIRA: 07/29/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2011	36 Months From Approved	09/30/2008
Responses	9,775	0	20,960
Time Burden (Hours)	1,774	0	3,767
Cost Burden (Dollars)	3,050	0	7,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	9,775	20,960	-11,185
Annual Time Burden (Hours)	1,774	3,767	-1,993
Annual Cost Burden (Dollars)	3,050	7,000	-3,950

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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