Information Collection

Health Education Assistance Loan (HEAL) Program: Forms

IC 6318 under ICR 200006-0915-001 · OMB 0915-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0034 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Health Education Assistance Loan (HEAL) Program: Forms	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
Form	HRSA-504				No	No
Form	HRSA-508				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,046	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

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	227,552	-3,560	195,265	35,847
Annual IC Time Burden (Hours)	13,703	-167	9,160	4,710
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

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