Veterinary Medicine Loan Repayment Program Application

Documents and Forms

Document Name Document Type
Form NIFA -01-10 Veterinary Medicine Loan Repayment Program Application Form
NIFA -01-10 Loan Application Information VMLRP - NIFA-01-10 - Applicant Information.doc Form
NIFA-02-10 Personal Statement VMLRP - NIFA-02-10 - Personal Statement.doc Form
NIFA-06-10 Certifications for Application VMLRP - NIFA-06-10 - Certifications for Application.doc Form
NIFA-07-10 Intent of Employment VMLRP - NIFA-07-10 - Intent of Employment.doc Form
NIFA-08-10 Recommendation Form VMLRP - NIFA-08-10 - Recommendation Form.doc Form
Form-03-10 List of Recommendaters VMLRP - NIFA-03-10 - List of Recommenders.doc Form
NIFA-05-10 Contract VMLRP - NIFA-05-10 - Contract SAMPLE.doc Form
NIFA-09-10 Service Verification VMLRP - NIFA-09-10 - Service Verification.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Veterinary Medicine Loan Repayment Program Application	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	Available Electronically?	Electronic Capability
Form	NIFA -01-10	Loan Application Information	VMLRP - NIFA-01-10 - Applicant Information.doc	No	Paper Only
Form	NIFA-02-10	Personal Statement	VMLRP - NIFA-02-10 - Personal Statement.doc	No	Paper Only
Form	NIFA-06-10	Certifications for Application	VMLRP - NIFA-06-10 - Certifications for Application.doc	No	Paper Only
Form	NIFA-07-10	Intent of Employment	VMLRP - NIFA-07-10 - Intent of Employment.doc	No	Paper Only
Form	NIFA-08-10	Recommendation Form	VMLRP - NIFA-08-10 - Recommendation Form.doc	No	Paper Only
Form	Form-03-10	List of Recommendaters	VMLRP - NIFA-03-10 - List of Recommenders.doc	No	Paper Only
Form	NIFA-05-10	Contract	VMLRP - NIFA-05-10 - Contract SAMPLE.doc	No	Paper Only
Form	NIFA-09-10	Service Verification	VMLRP - NIFA-09-10 - Service Verification.doc	No	Paper Only

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: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	102	-1,498	1,600
Annual IC Time Burden (Hours)	1,000	-1,120	2,120
Annual IC Cost Burden (Dollars)	0	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.