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: 0915-0150	ICR Reference No: 200907-0915-001
Status: Historical Active	Previous ICR Reference No: 200609-0915-003
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Faculty Loan Repayment Program Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/13/2009
	Date Received in OIRA: 07/21/2009
Terms of Clearance: Approved consistent with clarification that this package is, in fact, a revision to the previous package.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	36 Months From Approved	12/31/2009
Responses	905	0	160
Time Burden (Hours)	1,087	0	160
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	905	160	181	564
Annual Time Burden (Hours)	1,087	160	91	836
Annual Cost Burden (Dollars)	0	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: No

Burden Reduction Due to:

Short Statement: There is a program change because we are adding a checklist which has added approximately 91 hours. This checklist was not previously part of the ICR. There is a program adjustment due to an expected increase in the number of applications to the program due to increased marketing and outreach of the program.

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