Information Collection

Application For National Health Service Crops And Indian Health Service Loan Repayment Programs

IC 110330 under ICR 198804-0915-001 · OMB 0915-0127.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR NATIONAL HEALTH SERVICE CROPS AND INDIAN HEALTH SERVICE LOAN REPAYMENT PROGRAMS	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,480	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
Annual Number of Responses for this IC	2,480	2,480
Annual IC Time Burden (Hours)	4,080	4,080
Annual IC Cost Burden (Dollars)	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.