The Nursing Scholarship Program

The Nursing Scholarship Program

OMB: 0915-0301

IC ID: 43610

Information Collection (IC) Details

View Information Collection (IC)

The Nursing Scholarship Program
 
No Modified
 
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 Eligible Application Attachment B-Eligible Application screenshots .pdf Yes Yes Fillable Fileable
Form and Instruction 2 NCSP APG Attachment C-NCSP APG.docx Yes Yes Fillable Fileable
Form and Instruction 3 Graduation Close Out Form Attachment D-Graduation Close Out Form.docx Yes Yes Fillable Fileable
Form and Instruction 4 Confirmation of Interest Form Attachment E-Confirmation of Interest Form Screenshots.docx Yes Yes Fillable Fileable
Form and Instruction 5 Contract Attachment F-Contract.pdf Yes Yes Fillable Fileable
Form and Instruction 6 DCW Attachment G-DCW Screen shot.docx Yes Yes Fillable Fileable
Form and Instruction 7 School Enrollment Verification Form Attachment H-School Enrollment Verification Form.pdf Yes Yes Fillable Fileable
Form and Instruction 8 Initial Employment Verification Form Attachment I-Initial Employment Verification Form.pdf Yes Yes Fillable Fileable
Form and Instruction 9 Participant Service Verification Attachment J-Employer -Participant Service Verification Screenshots .pdf Yes Yes Fillable Fileable

Health Health Care Services

 

5,550 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 8,050 0 2,350 0 0 5,700
Annual IC Time Burden (Hours) 6,891 0 -3,309 0 0 10,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Nursing Legislation Attachment A - Nursing Legislation.pdf 06/21/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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