NHSC SP – Post Graduate Training Verification Form

Application for Participation in the National Health Service Corps Scholarship Program

OMB: 0915-0146

IC ID: 211162

Information Collection (IC) Details

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NHSC SP – Post Graduate Training Verification Form
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 NHSC SP – Post Graduate Training Verification Form 12 NHSC SP Post Grad Training Request.docx Yes Yes Fillable Printable

Health Health Care Services

 

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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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