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Profile Completion Instructions and Screenshots
Health Workforce Connector
OMB: 0906-0031
IC ID: 262088
OMB.report
HHS/HRSA
OMB 0906-0031
ICR 202603-0906-003
IC 262088
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Profile Completion Instructions and Screenshots
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
2
Profile Completion
Profile Completion Instructions and Screenshots - Attachment E.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
HHS/HRSA/BHW Scholarship and Loan Repayment Program Records
FR Citation:
86 FR 28362
Number of Respondents:
4,164
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
0
0
-4,164
0
0
4,164
Annual IC Time Burden (Hours)
0
0
-4,164
0
0
4,164
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
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