Information Collection

National Health Service Corps Loan Repayment Program And The Nhsc State Loan Repayment Program (42 Cfr Part 62)

IC 110331 under ICR 199101-0915-003 · OMB 0915-0127.

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Information Collection (IC) Details

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IC Title:	NATIONAL HEALTH SERVICE CORPS LOAN REPAYMENT PROGRAM AND THE NHSC STATE LOAN REPAYMENT PROGRAM (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: 3,601	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,601	1,220	-99	2,480
Annual IC Time Burden (Hours)	3,401	-739	60	4,080
Annual IC Cost Burden (Dollars)	0	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.