Information Collection

Health Professions Student Loan And Nursing Student Loan Programs Administrative Forms

IC 110130 under ICR 198209-0915-001 · OMB 0915-0044.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0044 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	HEALTH PROFESSIONS STUDENT LOAN AND NURSING STUDENT LOAN PROGRAMS ADMINISTRATIVE FORMS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PHS 501				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 38,642	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	41,515	3,200	38,315
Annual IC Time Burden (Hours)	26,675	12,800	13,875
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.