Health Professions Student Loan and Nursing Student Loan Programs - Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0044 can be found here:

Documents and Forms

Document Name Document Type
AOR Guidance 2012 - Revised April 20 - DSLS.docx Instruction
1 Deferment HRSA 519 Revised Deferment Form sent to OMB -- grantee comments included.docx Form
2 AOR - HRSA 501 - PCL PCL AOR April 20 2012 - DSLS.docx Form
3 AOR - HRSA 501 - NON-PCL NON-PCL AOR - REVISED April 20 2012 - DSLS.docx Form
0044_law.doc HPSL/NSL Legislation IC Document
0044_regs.doc HPSL/NSL Regulations IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Health Professions Student Loan and Nursing Student Loan Programs - Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			AOR Guidance 2012 - Revised April 20 - DSLS.docx	Yes	Yes	Printable Only
Form	1	Deferment HRSA 519	Revised Deferment Form sent to OMB -- grantee comments included.docx	Yes	Yes	Fillable Fileable
Form	2	AOR - HRSA 501 - PCL	PCL AOR April 20 2012 - DSLS.docx	Yes	Yes	Fillable Fileable
Form	3	AOR - HRSA 501 - NON-PCL	NON-PCL AOR - REVISED April 20 2012 - DSLS.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,068	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,068	0	1,150	2,918
Annual IC Time Burden (Hours)	11,733	3,962	3,809	3,962
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
HPSL/NSL Legislation	0044_law.doc	03/12/2009
HPSL/NSL Regulations	0044_regs.doc	03/12/2009

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