Information Collection

National Health Service Corps Loan Repayment Program and the State NHSC Loan Repayment Program -- 42 CFR Part 62

IC 110333 under ICR 199506-0915-009 · 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 State NHSC 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: 2,601	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	Previously Approved
Annual Number of Responses for this IC	2,601	2,601	0
Annual IC Time Burden (Hours)	1,901	0	1,901
Annual IC Cost Burden (Dollars)	0	0	0

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