Health Education Assistance Loan (HEAL) Program Forms

Health Education Assistance Loan (HEAL) Program Forms

OMB: 0915-0043

IC ID: 6325

Documents and Forms
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Information Collection (IC) Details

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Health Education Assistance Loan (HEAL) Program Forms
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HRSA-512 Yes Yes
Form HRSA-500-3 Yes Yes
Form HRSA-50201 Yes Yes
Form HRSA-500-2 Yes Yes
Form HRSA-502-2 Yes Yes
Form HRSA-500-1 Yes Yes


    

748 0
   
Private Sector Businesses or other for-profits
 
   1 %

  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 23,946 0 0 -26,786 0 50,732
Annual IC Time Burden (Hours) 12,005 0 0 -13,419 0 25,424
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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