Health Education Assistance Loan (HEAL)

ICR 201212-0915-003

OMB: 0915-0043

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Supporting Statement A
2013-02-05
IC Document Collections
ICR Details
0915-0043 201212-0915-003
Historical Active 200912-0915-001
HHS/HSA
Health Education Assistance Loan (HEAL)
Extension without change of a currently approved collection   No
Regular
Approved with change 02/07/2013
Retrieve Notice of Action (NOA) 12/10/2012
  Inventory as of this Action Requested Previously Approved
02/29/2016 36 Months From Approved 02/28/2013
410 0 3,220
220 0 1,623
0 0 0

This is a request for extension of clearance to collect data on HEAL loans such as the cost of the loans(s) and to determine which lenders may have excessive delinquencies/defaulted loans.

US Code: 42 USC 60.34(b)(1)(2) Name of Law: HEAL Regulations
   US Code: 42 USC 705 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  77 FR 56844 09/14/2012
77 FR 73473 12/10/2012
No

2
IC Title Form No. Form Name
Repayment Schedule HRSA-502 1,2 2, 1 502-2 ,   502-1
HRSA 512- Holder's/Call Report 1 512

  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 410 3,220 0 0 -2,810 0
Annual Time Burden (Hours) 220 1,623 0 0 -1,403 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,400
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.
12/10/2012


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