Information Collection

Health Education Assistance Loan (HEAL) Program Information Collection Requirements - Forms

IC 6326 under ICR 200008-0915-002 · OMB 0915-0043.

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Documents and Forms

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Document Name	Document Type

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IC Title:

Health Education Assistance Loan (HEAL) Program Information Collection Requirements - 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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HRSA-502-2	No	No
Form	HRSA-512	No	No
Form	HRSA-502-1	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,088	-6,866	-4,992	23,946
Annual IC Time Burden (Hours)	6,066	-3,439	-2,500	12,005
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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