Information Collection

The Nursing Scholarship Program

IC 43610 under ICR 200907-0915-002 · OMB 0915-0301.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0301 can be found here:

Documents and Forms

Document Name Document Type
Form NSP_001 The Nursing Scholarship Program Form and Instruction
NSP_001 Nursing Scholarship Program Application Screenshots Nursing Scholarship Program Application FY 09 Screen Shots.pdf bhpr.hrsa.gov/nursing/scholarship/ Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The Nursing Scholarship Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	NSP_001	Nursing Scholarship Program Application Screenshots	Nursing Scholarship Program Application FY 09 Screen Shots.pdf	http://bhpr.hrsa.gov/nursing/scholarship/	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,100	100	5,000
Annual IC Time Burden (Hours)	10,200	5,450	4,750
Annual IC Cost Burden (Dollars)	0	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.