Health Education Assistance Loan (HEAL)

ICR 200310-0915-004

OMB: 0915-0043

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
6327 Migrated
ICR Details
0915-0043 200310-0915-004
Historical Active 200008-0915-002
HHS/HSA
Health Education Assistance Loan (HEAL)
Revision of a currently approved collection   No
Regular
Approved without change 12/08/2003
Retrieve Notice of Action (NOA) 10/23/2003
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006 12/31/2003
10,070 0 12,088
5,055 0 6,066
0 0 0

The purpose of these forms are to collect data on HEAL loans from the borrowers with information on the cost of their loans(s) and to determine which lenders may have excessive delinquencies and defaulted loans.

None
None


No

1
IC Title Form No. Form Name
Health Education Assistance Loan (HEAL) HRSA-502-1

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,070 12,088 0 -2,018 0 0
Annual Time Burden (Hours) 5,055 6,066 0 -1,011 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/23/2003


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