PRIVATE PRACTICE OPTION LOAN PROGRAM - NPRM

ICR 198702-0915-003

OMB: 0915-0101

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
165574
Migrated
ICR Details
0915-0101 198702-0915-003
Historical Active 198506-0915-002
HHS/HSA
PRIVATE PRACTICE OPTION LOAN PROGRAM - NPRM
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/18/1987
Approved with change 02/18/1987
Retrieve Notice of Action (NOA) 02/18/1987
  Inventory as of this Action Requested Previously Approved
06/30/1987 06/30/1987 06/30/1987
39 0 1
179 0 1
0 0 0

LEAN. PRIVATE. PROVIDES THE PROSPECTIVE PRIVATE PRACTICE OPTION LOAN APPLICANT WITH A MEANS FOR APPLYING AND PROGRAM OFFICIALS WITH THE INFORMATION NECESSARY TO EVALUATE EACH APPLICANT AGAINST THE ESTABLISHED ELIGIBILITY CRITERIA. ALSO PROVIDES MEANS FOR REVIEWING PRO PERFORMANCE AFTER A LOAN HAS BEEN AWARDED.

None
None


No

1
IC Title Form No. Form Name
PRIVATE PRACTICE OPTION LOAN PROGRAM - NPRM

  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 39 1 0 38 0 0
Annual Time Burden (Hours) 179 1 0 178 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.
02/18/1987


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