Faculty Loan Repayment Program Application

ICR 201208-0915-002

OMB: 0915-0150

Federal Form Document

ICR Details
0915-0150 201208-0915-002
Historical Active 200907-0915-001
HHS/HSA
Faculty Loan Repayment Program Application
Revision of a currently approved collection   No
Regular
Approved without change 10/12/2012
Retrieve Notice of Action (NOA) 08/07/2012
  Inventory as of this Action Requested Previously Approved
10/31/2015 36 Months From Approved 10/31/2012
912 0 905
684 0 1,087
0 0 0

The purpose of the Faculty Loan Repayment Program is to attract disadvantaged health professionals into faculty positions in accredited health professions schools by offering to make partial payments on education loans. In exchange, the graduate health professional agrees to have a contract with an accredited health professions school to serve as a faculty member for a minimum of two years.

US Code: 42 USC 293b Name of Law: Public Health Service Act
   PL: Pub.L. 105 - 392 738(a) Name of Law: Health Professions Education Partnerships Act of 1998
  
None

Not associated with rulemaking

  77 FR 28607 05/15/2012
77 FR 42748 07/20/2012
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 912 905 0 7 0 0
Annual Time Burden (Hours) 684 1,087 0 -403 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Changing Forms
This decrease is due to a program adjustment and minor change in the electronic application format, which incorporated a majority of the required supporting and supplemental documents as part of the electronic submission of the application.

$105,211
No
No
No
No
No
Uncollected
Jodi Duckhorn 301 443-1984

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/07/2012


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