Veterinarian Shortage Situation Nomination Form

Veterinary Medicine Loan Repayment Program (VMLRP) Shortage Situation

Documents and Forms

Document Name Document Type
Form VMLRP1 Veterinarian Shortage Situation Nomination Form Form and Instruction
VMLRP1 NIFA VMLRP Shortage Situation Nomination Form NIFA VMLRP - Shortage Situation Nomination Form (FY 2013) FINAL.doc www.nifa.usda.gov/vmlrp Form and Instruction

Information Collection (IC) Details

IC Title:	Veterinarian Shortage Situation Nomination Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 3431

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VMLRP1	NIFA VMLRP Shortage Situation Nomination Form	NIFA VMLRP - Shortage Situation Nomination Form (FY 2013) FINAL.doc	www.nifa.usda.gov/vmlrp	Yes	Yes	Fillable Printable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	480	480
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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