FACULTY EVALUATION FORM - PUBLIC HEALTH AND NATIONAL HEALTH SERVICE CORPS SCHOLARSHIP

ICR 198203-0915-003

OMB: 0915-0027

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0915-0027 198203-0915-003
Historical Active 197801-0935-001
HHS/HSA
FACULTY EVALUATION FORM - PUBLIC HEALTH AND NATIONAL HEALTH SERVICE CORPS SCHOLARSHIP
Revision of a currently approved collection   No
Regular
Approved without change 03/30/1982
Retrieve Notice of Action (NOA) 03/30/1982
  Inventory as of this Action Requested Previously Approved
09/30/1982 09/30/1982
10,000 0 0
333 0 0
0 0 0

THE HEALTH PROFESSIONS EDUCATIONAL ACT OF 1976, PL 94-484, AUTHORIZED THE NHSC SCHOLARSHIP PROGRAM. THE INTERIM-FINAL. REGULATIONS, PUBLISHED 9/28/78, IN THE FEDERAL REGISTER, PROVIDED THAT ONE OF THE CRITERIA FOR THE SELECTION OF SCHOLARSHIP RECIPIENTS WILL BE FACULTY EVALUATIONS. THE FACULTY EVALUATION WILL ASSIST THE SCHOLARSHIP SELECTION COMMITTEE IN EVALUATING ACADEMIC PERFOMANCE.

None
None


No

1
IC Title Form No. Form Name
FACULTY EVALUATION FORM - PUBLIC HEALTH AND NATIONAL HEALTH SERVICE CORPS SCHOLARSHIP HRABHM 0610, HRA98-2

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,000 0 0 0 10,000 0
Annual Time Burden (Hours) 333 0 0 0 333 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/30/1982


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