The HEAL Lender's Application for
Insurance Claim and the Request for Collection Assistance forms are
used in the administration of the Health Education Assistant Loan
(HEAL) program. The HEAL program provided federally insured loans
to students in certain health professions discliplines, and these
forms are used in the administration of the HEAL program. The
Lender's Application for Insurance Claim is used by the lending
institution to request payment of a claim by the Federal
Government. The Request for Collection Assistance form is used by
the lender to request pre-claim assistance from the Department of
Health and Human Services.
PL:
Pub.L. 105 - 392 101 Name of Law: Health Professions Education
and Financial Assistance Programs
PL:
Pub.L. 102 - 408 101 Name of Law: Health Professions Education
Amendments of 1992
There currently are 1,774
burden hours approved in the OMB Inventory for 0915-0036. We are
requesting approval for 1,165 hours, which is 609 hours less than
the last submission. This decrease in the number of responses and
total burden hours is a program adjustment, reflecting a predicted
decrease in the number of responses per respondent since the last
clearance request.
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.