Information Collection

National Health Service Corps State Loan Repayment And Special Repayment Programs, 42 Cfr Part 62

IC 110340 under ICR 199005-0915-004 · OMB 0915-0131.

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IC Title:

NATIONAL HEALTH SERVICE CORPS STATE LOAN REPAYMENT AND SPECIAL REPAYMENT PROGRAMS, 42 CFR PART 62

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.	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: 210

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	211	125	86
Annual IC Time Burden (Hours)	264	-1,196	1,460
Annual IC Cost Burden (Dollars)	0	0	0

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Title	Document	Date Uploaded

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