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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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

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 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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