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View ICR - OIRA Conclusion

OMB Control No: 0917-0014	ICR Reference No: 202505-0917-001
Status: Active	Previous ICR Reference No: 202111-0917-001
Agency/Subagency: HHS/IHS	Agency Tracking No: 0917-0014
Title: Indian Health Service Loan Repayment 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 with change	Conclusion Date: 10/09/2026
	Date Received in OIRA: 05/21/2025
Terms of Clearance: Approved with the understanding that the agency will conduct Tribal consultation (scheduled for spring 2027) prior to resubmission of this ICR for revision or extension. Subsequent submissions for revision or extension will reflect changes recommended through the Tribal consultation process.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2027	36 Months From Approved
Responses	4,335	0	0
Time Burden (Hours)	3,758	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,335	4,335	-1,999	1,999
Annual Time Burden (Hours)	3,758	3,758	-2,999	2,999
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: due to changes in documents themselves a small increase in burden has been applied to the applicants that are accepted to the program

Annual Cost to Federal Government: $268,426

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Thomas Hamby 204 252-0331 thomas.hamby@ihs.gov

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