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Form 2E Enrollment Verification Form
The National Health Service Corps Scholarship Program, Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program
Enrollment Verification Form
NHSC SP Awardees Schools – Enrollment Verification Form
OMB: 0915-0146
OMB.report
HHS/HSA
OMB 0915-0146
ICR 202305-0915-001
IC 211163
Form 2E Enrollment Verification Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0915-0146 can be found here:
2025-12-16 - Revision of a currently approved collection
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