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View ICR - OIRA Conclusion

OMB Control No: 0915-0337	ICR Reference No: 202512-0915-002
Status: Active	Previous ICR Reference No: 202305-0915-002
Agency/Subagency: HHS/HSA	Agency Tracking No: 21466
Title: The NHSC and NURSE Corps Interest Capture Form
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: 04/13/2026
	Date Received in OIRA: 12/16/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2029	36 Months From Approved	07/31/2026
Responses	17,676	0	16,144
Time Burden (Hours)	442	0	404
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	17,676	16,144	1,532
Annual Time Burden (Hours)	442	404	38
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: No

Burden Reduction Due to:

Short Statement: Estimated burden is expected to increase due to a higher number of respondents (an increase from 16,144 to 17,676). As a result, the estimated burden is expected to increase from 404 to 442 hours.

Annual Cost to Federal Government: $10,383

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. No

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: Laura Cooper 301 443-2126 lcooper@hrsa.gov

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