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OMB Control No: 0906-0082	ICR Reference No: 202611-0906-001
Status: Received in OIRA	Previous ICR Reference No: 202608-0906-002
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Faculty Loan Repayment Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 11/03/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2027
Responses	1,425	860
Time Burden (Hours)	926	527
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	1,425	860	-485	1,050
Annual Time Burden (Hours)	926	527	-227	626
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The estimated total burden for this activity is estimated to be 926.25 hours (rounding down to 926 hours in ROCIS). The estimated burden hours percentage change from the current Notice of Action to the revised estimated burden hours reflects an increase of about 76% which is a difference of about 395 hours. This is due to an increase in the number of respondents/applicants to the FLRP as well as the addition of two new forms. The "decline" is due to a quirk in ROCIS. The prior package had all forms in one IC, whereas in this package we are including each form as a separate IC due to differences in frequency of submission, burden hours per response, and who submits the form (participant or the institution on behalf of the participant).

Annual Cost to Federal Government: $285,218

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]? 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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