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Nurse Faculty Loan Program - Program Specific Data Form
Nurse Faculty Loan Program - Program Specific Data Form
OMB: 0915-0321
IC ID: 186652
OMB.report
HHS/HSA
OMB 0915-0321
ICR 200809-0915-002
IC 186652
( )
Documents and Forms
Document Name
Document Type
Form NFLP
Nurse Faculty Loan Program - Program Specific Data Form
Form
NFLP Nurse Faculty Loan Program - Data Form
NFLP form 2008.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Nurse Faculty Loan Program - Program Specific Data Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
NFLP
Nurse Faculty Loan Program - Data Form
NFLP form 2008.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
150
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
150
0
0
0
150
0
Annual IC Time Burden (Hours)
1,200
0
0
0
1,200
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.