Veterinary Medicine Loan Repayment Program Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0047 can be found here:

Documents and Forms

Document Name Document Type
Form NIFA-0001 Veterinary Medicine Loan Repayment Program Application Form
NIFA-0001 Applicant Information NIFA VMLRP - 01 - Applicant Information.pdf Form
NIFA-0002 Personal Statement NIFA VMLRP - 02 - Personal Statement.pdf Form
NIFA-0003 List of Recommenders NIFA VMLRP - 03 - List of Recommenders.pdf Form
NIFA-0005 Veterinary Medicine Loan Repayment Program Contract NIFA VMLRP - 05 - Contract.pdf Form
NIFA-0006 Certifications for Application NIFA VMLRP - 06 - Certifications for Application.pdf Form
NIFA-0007 Intent of Employment NIFA VMLRP - 07 - Intent of Employment.pdf Form
NIFA-0008 Recommendation Form NIFA VMLRP - 08 - Recommendation Form.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Veterinary Medicine Loan Repayment Program Application	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NIFA-0001	Applicant Information	NIFA VMLRP - 01 - Applicant Information.pdf	Yes	No	Paper Only
Form	NIFA-0002	Personal Statement	NIFA VMLRP - 02 - Personal Statement.pdf	Yes	No	Paper Only
Form	NIFA-0003	List of Recommenders	NIFA VMLRP - 03 - List of Recommenders.pdf	Yes	No	Paper Only
Form	NIFA-0005	Veterinary Medicine Loan Repayment Program Contract	NIFA VMLRP - 05 - Contract.pdf	Yes	No	Paper Only
Form	NIFA-0006	Certifications for Application	NIFA VMLRP - 06 - Certifications for Application.pdf	Yes	No	Paper Only
Form	NIFA-0007	Intent of Employment	NIFA VMLRP - 07 - Intent of Employment.pdf	Yes	No	Paper Only
Form	NIFA-0008	Recommendation Form	NIFA VMLRP - 08 - Recommendation Form.pdf	Yes	No	Paper Only

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: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	1,300	1,300
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.