The National Health Service Corps (NHSC) Loan Repayment Program

The National Health Service Corps (NHSC) Loan Repayment Program

OMB: 0915-0127

IC ID: 6365

Information Collection (IC) Details

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The National Health Service Corps (NHSC) Loan Repayment Program
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 621

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0127-1 NHSC LRP LRP_App_Wireframe_Package_7_21.2010pdf No No Fillable Fileable

Health Health Care Services

The Public Health Service and National Health Service Corps Health Care Provider Records System  58 FR 12968

5,175 0
   
Individuals or Households
 
   100 %

  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 5,175 742 0 0 0 4,433
Annual IC Time Burden (Hours) 1,553 -664 0 0 0 2,217
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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