Veterinarian Shortage Situation Nomination Form

Veterinary Medicine Loan Repayment Program (VMLRP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0046 can be found here:

Documents and Forms

Document Name Document Type
Veterinarian Shortage Situation Nomination Form Form and Instruction
10.02.2009 - NIFA VMLRP - Veterinarian Shortage Situation Nomination Form Draft Final.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Veterinarian Shortage Situation Nomination Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 3431

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	NA	10.02.2009 - NIFA VMLRP - Veterinarian Shortage Situation Nomination Form Draft Final.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	114	114
Annual IC Time Burden (Hours)	228	228
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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