APPLICATION FOR SCHOLARSHIP-FIRST YEAR STUDENTS OF EXCEPTIONAL FINANCIAL NEED

ICR 198301-0915-003

OMB: 0915-0028

Federal Form Document

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ICR Details
0915-0028 198301-0915-003
Historical Active 198203-0915-004
HHS/HSA
APPLICATION FOR SCHOLARSHIP-FIRST YEAR STUDENTS OF EXCEPTIONAL FINANCIAL NEED
No material or nonsubstantive change to a currently approved collection   No
Emergency 01/20/1983
Approved with change 01/20/1983
Retrieve Notice of Action (NOA) 01/20/1983
  Inventory as of this Action Requested Previously Approved
04/30/1983 04/30/1983 01/31/1983
300 0 300
75 0 75
0 0 0

PL 94-484 AUTHORIZED THE SCHOLARSHIP FOR FIRST YEAR STUDENTS OF EXCEPTIONAL FINANCIAL NEED PROGRAM, DESIGNATED AS SECTION 758 OF THE PHS ACT. SINCE FUNDS UNDER THIS PROGRAM ARE INTENDED TO ASSIST FIRST YEARS HP STUDENTS WITH EXCEPTIONAL FINANCIAL NEED, IT IS NECESSARY TO HAVE A MEANS OF: (1) IDENTIFYING THE STUDENTS, (2) AWARDING THE SCHOLARSHIPS AND (3) ADMISTERING, THE FUNDS. THE HP SCHOOLS WILL ACT AS INTERMEDIARY BETWEEN THE PHS AND THE SHOLARSHIP RECIPIENT

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR SCHOLARSHIP-FIRST YEAR STUDENTS OF EXCEPTIONAL FINANCIAL NEED HRA214, HRA215

  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 300 300 0 0 0 0
Annual Time Burden (Hours) 75 75 0 0 0 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.
01/20/1983


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