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National Health Service Corps State Loan Repayment And Special Repayment Programs, 42 Cfr Part 62
NATIONAL HEALTH SERVICE CORPS STATE LOAN REPAYMENT AND SPECIAL REPAYMENT PROGRAMS, 42 CFR PART 62
OMB: 0915-0131
IC ID: 110340
OMB.report
HHS/HSA
OMB 0915-0131
ICR 199005-0915-004
IC 110340
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
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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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
211
0
125
0
0
86
Annual IC Time Burden (Hours)
264
0
-1,196
0
0
1,460
Annual IC Cost Burden (Dollars)
0
0
0
0
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.