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OMB Control No: 0915-0140	ICR Reference No: 202608-0915-002
Status: Received in OIRA	Previous ICR Reference No: 202508-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No: 21547
Title: NURSE Corps Loan Repayment Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 08/07/2026

	Requested	Previously Approved
Expiration Date	11/30/2028	11/30/2028
Responses	23,694	23,694
Time Burden (Hours)	15,554	15,554
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved
Annual Number of Responses	23,694	23,694
Annual Time Burden (Hours)	15,554	15,554
Annual Cost Burden (Dollars)	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: No

Burden Reduction Due to:

Short Statement: Some of the individual forms have an increase in burden due to the increase in the number of respondents. There is an overall decrease in the burden because we have taken out the Disadvantaged Student form. Upon further review of the Nurse Corps LRP application, it was determined that the Disadvantaged Background Form is redundant as this information is already captured in the Nurse Corps LRP Application. Therefore, this form will be removed from the information collection.

Annual Cost to Federal Government: $1,774,560

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. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

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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