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Heal Promissory Note - (variable And Fixed Rates)

IC 165570 under ICR 198410-0915-005 · OMB 0915-0086.

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HEAL PROMISSORY NOTE - (VARIABLE AND FIXED RATES)
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HRSA 500-1 No No


    

13,500 0
   
Individuals or Households
 
   0 %

  Approved 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 13,500 0 0 0 0 13,500
Annual IC Time Burden (Hours) 7,200 0 0 0 0 7,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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