Health Education Assistance Loan (HEAL) Program: Application Form

Health Education Assistance Loan (HEAL) Program: Application Form

OMB: 0915-0038

IC ID: 6324

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Health Education Assistance Loan (HEAL) Program: Application Form
 
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-700 Yes Yes


    

8,431 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 24,190 0 -68,810 0 0 93,000
Annual IC Time Burden (Hours) 12,353 0 -35,180 0 0 47,533
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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