OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Health Education Assistance Loan (HEAL) Program: Forms

IC 43609 under ICR 201207-0915-004 · OMB 0915-0034.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Health Education Assistance Loan (HEAL) Program: Forms
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 HRSA 504 HRSA-504.doc Yes No Fillable Printable
Form and Instruction 2 HRSA 508 HRSA-508 BorDefer.docx Yes Yes Fillable Fileable

Health Health Care Services

 

73 0
   
Private Sector Not-for-profit institutions
 
   90 %

  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 151 0 0 -83 0 234
Annual IC Time Burden (Hours) 23 0 0 -12 0 35
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
BLS_Tape_Specs BLS_Tape_Specs.pdf 07/31/2012
Loan_Pur_Consol_Tape_Specs Loan_Pur_Consol_Tape_Specs.doc 07/31/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.