HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM STUDENT APPLICATION

ICR 198912-0915-001

OMB: 0915-0038

Federal Form Document

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Name
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ICR Details
0915-0038 198912-0915-001
Historical Active 198702-0915-001
HHS/HSA
HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM STUDENT APPLICATION
Revision of a currently approved collection   No
Regular
Approved without change 02/13/1990
Retrieve Notice of Action (NOA) 12/13/1989
  Inventory as of this Action Requested Previously Approved
02/28/1993 02/28/1993 03/31/1990
87,000 0 45,470
45,434 0 27,750
0 0 0

THE APPLICATION IS NEEDED FOR STUDENTS TO APPLY FOR HEAL LOANS. SCHOO USE THE APPLICATION TO DETERMINE A STUDENT ELIGIBILITY AND MAXIMUM APPROVABLE AMOUNT OF EACH LOAN. LENDERS USE THE APPLICATION TO DETERMINE STUDENT ELIGIBILITY AND THE AMOUNT OF THE INSTALLMENT OR DISBURSEMENT TO BE GIVEN THE BORROWER.

None
None


No

1
IC Title Form No. Form Name
HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM STUDENT APPLICATION HRSA 700

  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 87,000 45,470 0 -23,170 64,700 0
Annual Time Burden (Hours) 45,434 27,750 0 -9,866 27,550 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
12/13/1989


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