IHS Scholarship Program Application

Application for Participation in the IHS Scholarship Program

OMB: 0917-0006

IC ID: 240987

Information Collection (IC) Details

View Information Collection (IC)

IHS Scholarship Program Application
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Web Site Apps SCHOLARSHIP PROGRAM WEB SITE APPLICATION.pdf www.ihs.gov/scholarship Yes Yes Fillable Fileable Signable

Health Health Care Services

 

850 0
   
Individuals or Households
 
   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 850 0 0 0 0 850
Annual IC Time Burden (Hours) 850 0 0 0 0 850
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Supporting_Statement_for_OMB_No__0917-0006 FINAL 3.29.20.docx 03/29/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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