HEALTH PROFESSIONS STUDENT LOAN (HPSL) PROGRAM PROMISSORY NOTE

ICR 198404-0915-001

OMB: 0915-0074

Federal Form Document

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Document
Name
Status
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IC Document Collections
ICR Details
0915-0074 198404-0915-001
Historical Active 198309-0915-002
HHS/HSA
HEALTH PROFESSIONS STUDENT LOAN (HPSL) PROGRAM PROMISSORY NOTE
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 05/31/1984
Retrieve Notice of Action (NOA) 04/02/1984
  Inventory as of this Action Requested Previously Approved
02/28/1987 02/28/1987
24,960 0 0
832 0 0
0 0 0

THESE REPORTING AND RECORDKEEPING REQUIREMENTS PROVIDE THE SCHOOL WITH LEGAL DOCUMENTATION OF LOANS AWARDED FROM THE HPSL FUND AND PROVIDE TH STUDENT WITH THE LEGALLY BINDING TERMS OF THE LOAN.

None
None


No

1
IC Title Form No. Form Name
HEALTH PROFESSIONS STUDENT LOAN (HPSL) PROGRAM PROMISSORY NOTE

  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 24,960 0 0 24,960 0 0
Annual Time Burden (Hours) 832 0 0 832 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
04/02/1984


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