Information Collection

Application For Participation In The Veterans Administration Health Professional Scholarship Program

IC 174674 under ICR 198310-2900-007 · OMB 2900-0352.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR PARTICIPATION IN THE VETERANS ADMINISTRATION HEALTH PROFESSIONAL SCHOLARSHIP PROGRAM	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.	Available Electronically?	Can Be Submitted Electronically?
Form	10-00003	No	No
Form	10-0003A	No	No
Form	10-0003B	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,000	650	2,350
Annual IC Time Burden (Hours)	3,000	650	2,350
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.