The National Health Service Corps (NHSC) Loan Repayment Program Application

The National Health Service Corps (NHSC) Loan Repayment Program

OMB: 0915-0127

IC ID: 6365

Information Collection (IC) Details

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The National Health Service Corps (NHSC) Loan Repayment Program Application
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 621

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 NHSC LRP Application NHSC LRP Online Application User Guide Dec 2012.doc Yes Yes Fillable Fileable

Health Illness Prevention

The Public Health Service and National Health Service Corps Health Care Provider Records System  58 FR 12968

8,200 0
   
Individuals or Households
 
   100 %

  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 8,200 0 3,025 0 0 5,175
Annual IC Time Burden (Hours) 8,200 0 6,647 0 0 1,553
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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