Address Change Notice

Application for Participation in the IHS Scholarship Program

OMB: 0917-0006

IC ID: 193115

Information Collection (IC) Details

View Information Collection (IC)

Address Change Notice
 
No New
 
Required to Obtain or Retain Benefits
 
2 CFR 3506

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form IHS-816 Address Change Notice IHS-815 and 816 Change of Address.pdf No No Paper Only

Education Higher Education

IHS Scholarship Program  72 FR 5446

50 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50 0 50 0 0 0
Annual IC Time Burden (Hours) 1 0 1 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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