HEALTH PROFESSIONS AND NURSING STUDENT LOAN REPAYMENT PROGRAM

ICR 198203-0915-002

OMB: 0915-0026

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0915-0026 198203-0915-002
Historical Active 197807-0935-001
HHS/HSA
HEALTH PROFESSIONS AND NURSING STUDENT LOAN REPAYMENT PROGRAM
Revision of a currently approved collection   No
Regular
Approved without change 03/30/1982
Retrieve Notice of Action (NOA) 03/30/1982
  Inventory as of this Action Requested Previously Approved
06/30/1983 06/30/1983
5,500 0 0
1,750 0 0
0 0 0

THIS INFORMATION WILL BE USED TO DETERMINE ELIGIBILITY FOR LOAN REPAYMENT UNDER SECTION 741(F) OR SECTION 836(H) OF THE PHS ACT; TO VERIFY THE EXISTANCE AND PURPOSE OF THE APPLICANT'S EDUCATIONAL LOAN OR LOANS, AND TO DETERMINE THE AMOUNTS TO WHICH THE REPAYMENT PROVISIONS OF THE AGREEMENT FOR SERVICE IN A SHORTAGE AREA WILL APPLY.

None
None


No

1
IC Title Form No. Form Name
HEALTH PROFESSIONS AND NURSING STUDENT LOAN REPAYMENT PROGRAM HRA85-1, HRA85-2, HRA85-3, HRA85-3A

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,500 0 0 0 5,500 0
Annual Time Burden (Hours) 1,750 0 0 0 1,750 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/30/1982


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