Information Collection

Health Education Assistance Loan (heal) Program - Forms

IC 165545 under ICR 198904-0915-007 · OMB 0915-0034.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM - FORMS

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ERSA 504,	No	No
Form	505, 507	No	No
Form	508	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,349

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,310	4,310
Annual IC Time Burden (Hours)	2,674	2,674
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.