HEAL Form 539 - Private Sector

HEAL Program: Physician's Certification of Borrower's Total and Permanent Disability

OMB: 1845-0124

IC ID: 6427

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HEAL Form 539 - Private Sector
 
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 HEAL Form 539 PHYSICIAN'S CERTIFICATION OF BORROWER'S TOTAL AND PERMANENT DISABILITY 1845-0124 HEAL Form 539 updated draft for 30 day clearance review.doc Yes No Fillable Printable

Education Higher Education

Health Education Assistance Loan (Altered)  79 FR 36299

50 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 50 0 0 -40 0 90
Annual IC Time Burden (Hours) 15 0 0 -8 0 23
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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