PROGRAM OF FINANCIAL ASSISTANCE FOR DISADVANTAGED HEALTH PROFESSIONS STUDENTS (FADHPS) APPLICATION, AND REGULATIONS 42 CFR PART 57

ICR 199005-0915-002

OMB: 0915-0110

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0915-0110 199005-0915-002
Historical Active 198906-0915-004
HHS/HSA
PROGRAM OF FINANCIAL ASSISTANCE FOR DISADVANTAGED HEALTH PROFESSIONS STUDENTS (FADHPS) APPLICATION, AND REGULATIONS 42 CFR PART 57
Revision of a currently approved collection   No
Regular
Approved without change 07/25/1990
Retrieve Notice of Action (NOA) 05/01/1990
Approved for use with modifications to the SF-83 on recordkeeping retention requirements as agreed to in attached memorandum to conform with 5 CFR Part 1320.6
  Inventory as of this Action Requested Previously Approved
06/30/1993 06/30/1993 09/30/1992
300 0 300
175 0 175
0 0 0

THE AGENCY NEEDS THE INFORMATION COLLECTED UNDER THESE REGULATORY REQUIREMENTS TO ASSURE THAT THE SCHOOLS ARE PROPERLY ADMINISTERING FADHPS FUNDS. THE INFORMATION SUPPLIED ON THE APPLICATION WILL HELP DETERMINE THE NUMBER AND TYPE OF SCHOLARSHIPS EACH SCHOOL WILL RECEIVE.

None
None


No

1
IC Title Form No. Form Name
PROGRAM OF FINANCIAL ASSISTANCE FOR DISADVANTAGED HEALTH PROFESSIONS STUDENTS (FADHPS) APPLICATION, AND REGULATIONS 42 CFR PART 57 HRSA 526

  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 300 300 0 0 0 0
Annual Time Burden (Hours) 175 175 0 0 0 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.
05/01/1990


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