REQUEST FOR COLLECTION ASSISTANCE UNDER THE HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM

ICR 198504-0915-001

OMB: 0915-0100

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
0915-0100 198504-0915-001
Historical Active
HHS/HSA
REQUEST FOR COLLECTION ASSISTANCE UNDER THE HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/14/1985
Retrieve Notice of Action (NOA) 04/09/1985
  Inventory as of this Action Requested Previously Approved
01/31/1988 01/31/1988
2,000 0 0
200 0 0
0 0 0

THE REQUEST FOR COLLECTION ASSISTANCE UNDER THE HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM FORM PROVIDES HHS WITH DATA ON DELINQUE BORROWERS. THE HHS USES THIS INFORMATION TO ASSIST THE LENDERS IN THE COLLECTION OF OVERDUE ACCOUNTS, HELPING TO ENSURE SOUND MANAGEMENT OF THE HEAL PROGRAM.

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR COLLECTION ASSISTANCE UNDER THE HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM HRSA-513

  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 2,000 0 0 0 2,000 0
Annual Time Burden (Hours) 200 0 0 0 200 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.
04/09/1985


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