Request for Approval of Deferment

Application for Participation in the IHS Scholarship Program

OMB: 0917-0006

IC ID: 183617

Information Collection (IC) Details

View Information Collection (IC)

Request for Approval of Deferment
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
2 CFR 3506

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HS-856-11 Request for Approval of Deferment IHS-856-11 REQ FOR APPR OF DEFER.pdf No No Paper Only

Education Higher Education

IHS Scholarship Program  74 FR 50222

20 0
   
Individuals or Households
 
   0 %

  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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 3 0 0 0 0 3
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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