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: 201508-0915-001
Status: Historical Active	Previous ICR Reference No: 201208-0915-002
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: 09/30/2015
	Date Received in OIRA: 08/04/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved	10/31/2015
Responses	222	0	912
Time Burden (Hours)	250	0	684
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	222	912	-690
Annual Time Burden (Hours)	250	684	-434
Annual Cost Burden (Dollars)	0	0	0

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: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: The total burden hours for this activity are 250 hours. This is a decrease from the previously approved annual burden of 684 hours. This decrease is due to a program adjustment and minor change in the electronic application format, which incorporated a majority of the required supporting, screened for ineligible or incomplete applications and supplemental documents as part of the electronic submission of the application.

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