Veterinary Medicine Loan Repayment Program (VMLRP)

Forms and Documents

Document Name	Status
Form 0524-New Veterinary Medicine Loan Repayment Program Close-Out Reports Form	New
Form 0524-New Veterinary Medicine Loan Repayment Program Feedback Survey Form	New
Form 0524-New Veterinary Medicine Loan Repayment Post Award Survey Form	New
Form 0524-New Veterinary Medicine Loan Repayment Employer Survey Form and Instruction	New
Form NIFA -09-10 Participant and Employer Feedback Surveys Form	New
Form NIFA 2009-0001 Veterinary Medicine Loan Repayment Shortage Nomination Form Form	New
FY 2015 VMLRP Report_FINAL_2016-04-25.pptx Supplementary Document	2016-09-01
New VMLRP Guidance Document_.pdf Supplementary Document	2016-06-28
VMLRP Program Supporting Statement B 2016.docx Supporting Statement B	2016-06-28
VMLRP Program Supporting Statement.docx Supporting Statement A	2016-09-01

IC Document Collections

IC ID	Document Title	Status
223387	Veterinary Medicine Loan Repayment Program Close-Out Reports Form	New
223385	Veterinary Medicine Loan Repayment Program Feedback Survey Form	New
223384	Veterinary Medicine Loan Repayment Post Award Survey Form	New
223383	Veterinary Medicine Loan Repayment Employer Survey Form and Instruction	New
222271	Veterinary Medicine Loan Repayment Shortage Nomination Form Nonrespondents Other-Place Holder	New
222231	Participant and Employer Feedback Surveys Form	New
222229	Participants and Employer Feedback Nonrespondents Other-Non-Form Place holder	New
222227	Veterinary Medicine Loan Repayment Shortage Nomination Form Form	New

ICR Details

OMB Control No: 0524-0050	ICR Reference No: 201606-0524-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/NIFA	Agency Tracking No:
Title: Veterinary Medicine Loan Repayment Program (VMLRP)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/06/2016
	Date Received in OIRA: 07/01/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2019	36 Months From Approved
Responses	42,250	0	0
Time Burden (Hours)	12,538	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection merges two previously approved information collections. OMB control number 0524-0046 and OMB control number 0524-0047, and adds new reporting and record keeping requirements, feedback, surveys and a post-contract survey. Upon approval of this collection 0524-0046 and 0524-0047 will be cancelled.

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Authorizing Statute(s): US Code: 7 USC 3151A Name of Law: National Agricultural Research Extension and Teaching Policy Act of 1997
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 249	12/29/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 39888	06/20/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Participants and Employer Feedback Nonrespondents
Participant and Employer Feedback Surveys	NIFA -04-10, NIFA -03-10, NIFA -01-10, NIFA -09-10, NIFA -02-10, NIFA -08-10, NIFA -06-10, NIFA-07-10, NIFA -05-10	Service Verification ,   Recommendation Form ,   Intent of Employment ,   Certification for Application ,   Contract ,   Loan Information ,   List of Recommenders ,   Personal Statement ,   Applicant Information
Veterinary Medicine Loan Repayment Shortage Nomination Form Nonrespondents
Veterinary Medicine Loan Repayment Shortage Nomination Form	NIFA 2009-0001	VMLRP Shortage Nomination Form
Veterinary Medicine Loan Repayment Employer Survey	0524-New	VMLRP Employer Survery
Veterinary Medicine Loan Repayment Post Award Survey	0524-New	VMLRP Post Award Survey
Veterinary Medicine Loan Repayment Program Feedback Survey	0524-New	VMLRP Feedback Survey
Veterinary Medicine Loan Repayment Program Close-Out Reports	0524-New	VMLRP Close-out Report Survey

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	42,250	0	0	42,250	0	0
Annual Time Burden (Hours)	12,538	0	0	12,538	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new submission merging two previously approved information collections (IC 0524-0046 and IC 0524-0047). As a result of merging the two collections and the additional information (Records and Reports, and Surveys) this resulted in a program change of 1,190 respondents, 41,280 responses, and 11,979 burden hours.

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Annual Cost to Federal Government: $154,514

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/01/2016

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