Information Collection

Nurse Faculty Loan Program (NFLP) Program Specific Data Form

IC 210369 under ICR 201402-0915-004 · OMB 0915-0378.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0378 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Nurse Faculty Loan Program (NFLP) Program Specific Data Form Form and Instruction
1 Nurse Faculty Loan Program (NFLP) Program Specific Data 2014 Blank Formatted NFLP Application Data Form.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nurse Faculty Loan Program (NFLP) Program Specific Data Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Nurse Faculty Loan Program (NFLP) Program Specific Data Form	2014 Blank Formatted NFLP Application Data Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	1,200	1,200
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.