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Health Professions Student Loan and Nursing Student Loan Programs - Forms
Health Professions Student Loan and Nursing Student Loan Programs - Forms
OMB: 0915-0044
IC ID: 6331
OMB.report
HHS/HSA
OMB 0915-0044
ICR 201411-0915-003
IC 6331
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0044 can be found here:
2015-03-25 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Health Professions Student Loan and Nursing Student Loan Programs - Forms
Form and Instruction
1 AOR Guidance
AOR Guidance DSLS.docx
Form and Instruction
1 Deferment Form
Deferment Form.docx
Form and Instruction
3 Non-PCL AOR
NON-PCL AOR FY14.docx
Form and Instruction
4 PCL AOR
PCL AOR FY14.docx
Form and Instruction
0044_law.doc
HPSL/NSL Legislation
IC Document
0044_regs.doc
HPSL/NSL Regulations
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Health Professions Student Loan and Nursing Student Loan Programs - Forms
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
AOR Guidance
AOR Guidance DSLS.docx
Yes
Yes
Printable Only
Form and Instruction
1
Deferment Form
Deferment Form.docx
Yes
Yes
Fillable Fileable
Form and Instruction
3
Non-PCL AOR
NON-PCL AOR FY14.docx
Yes
Yes
Fillable Fileable
Form and Instruction
4
PCL AOR
PCL AOR FY14.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,684
Number of Respondents for Small Entity:
4,900
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
5,684
0
1,616
0
0
4,068
Annual IC Time Burden (Hours)
18,596
0
6,863
0
0
11,733
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
HPSL/NSL Legislation
0044_law.doc
03/12/2009
HPSL/NSL Regulations
0044_regs.doc
03/12/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.