Participant and Employer Feedback Surveys

Veterinary Medicine Loan Repayment Program (VMLRP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0050 can be found here:

Documents and Forms

Document Name Document Type
Form NIFA -09-10 Participant and Employer Feedback Surveys Form
NIFA -09-10 Service Verification VMLRP - NIFA-09-10 - Service Verification.pdf Form
NIFA -08-10 Recommendation Form VMLRP - NIFA-08-10 - Recommendation Form.pdf Form
NIFA-07-10 Intent of Employment VMLRP - NIFA-07-10 - Intent of Employment.pdf Form
NIFA -06-10 Certification for Application VMLRP - NIFA-06-10 - Certifications for Application.pdf Form
NIFA -05-10 Contract VMLRP - NIFA-05-10 - Contract_OMB update.pdf Form
NIFA -04-10 Loan Information VMLRP - NIFA-04-10 - Loan Information Form.pdf Form
NIFA -03-10 List of Recommenders VMLRP - NIFA-03-10 - List of Recommenders.pdf Form
NIFA -01-10 Applicant Information VMLRP - NIFA-01-10 - Applicant Information.pdf Form
NIFA -02-10 Personal Statement VMLRP - NIFA-02-10 - Personal Statement FY17_update.doc Form

Information Collection (IC) Details

IC Title:	Participant and Employer Feedback Surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NIFA -09-10	Service Verification	VMLRP - NIFA-09-10 - Service Verification.pdf	Yes	Yes	Fillable Printable
Form	NIFA -08-10	Recommendation Form	VMLRP - NIFA-08-10 - Recommendation Form.pdf	Yes	Yes	Fillable Printable
Form	NIFA-07-10	Intent of Employment	VMLRP - NIFA-07-10 - Intent of Employment.pdf	Yes	Yes	Fillable Printable
Form	NIFA -06-10	Certification for Application	VMLRP - NIFA-06-10 - Certifications for Application.pdf	Yes	Yes	Fillable Printable
Form	NIFA -05-10	Contract	VMLRP - NIFA-05-10 - Contract_OMB update.pdf	Yes	Yes	Fillable Printable
Form	NIFA -04-10	Loan Information	VMLRP - NIFA-04-10 - Loan Information Form.pdf	Yes	Yes	Fillable Printable
Form	NIFA -03-10	List of Recommenders	VMLRP - NIFA-03-10 - List of Recommenders.pdf	Yes	Yes	Fillable Printable
Form	NIFA -01-10	Applicant Information	VMLRP - NIFA-01-10 - Applicant Information.pdf	Yes	Yes	Fillable Printable
Form	NIFA -02-10	Personal Statement	VMLRP - NIFA-02-10 - Personal Statement FY17_update.doc	Yes	Yes	Fillable Printable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title: Veterinary Medicine Loan Repayment Program	FR Citation: 75 FR 77607

Number of Respondents: 41,550	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	41,550	41,550
Annual IC Time Burden (Hours)	11,798	11,798
Annual IC Cost Burden (Dollars)	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.