Information Collection Request

National Institutes of Health Loan Repayment Programs

ICR 201607-0925-003 · OMB 0925-0361 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Intramural/InitialApplications Form Modified Repair queued
Form 1 Extramural/ Financial Institutions Form and Instruction New Available
Form 1 Intramural/ Financial Institutions Form and Instruction New Available
Form 3 Extramural/ Recommenders and Institution Contacts Form Modified Available
Form 2 Extramural/ Advisors and Supervisors Form Modified Available
Form 1 Extramural/ Renewal Applicants Form Modified Available
Form 2 Intramural/ Advisors and Supervisors Form Modified Available
Form 1 Intramural/ Renewal Applications Form Modified Available
Form 3 Extramural/ Recommenders and Institution Contacts Form Modified Repair queued
Form 2 Extramural/ Advisors and Supervisors Form Modified Available
Form 1 Extramural/ Initial Applicants Form Modified Repair queued
Form 3 Intramural/Recommenders and Institution Contacts Form Modified Available
Form 2 Intramural/Advisors and Supervisors Form Modified Available
Final SSA Loan Repayment Supporting_Statementdocx.docx Supporting Statement A Uploaded 2016-08-26 Available
Privacy Impact Assessment-NIH OD LRP Website System (2012).pdf Supplementary Document Uploaded 2016-07-15 Available
OAS Instructions Final 07142016.pdf Supplementary Document Uploaded 2016-07-15 Available
LRP 30-day notice.pdf Supplementary Document Uploaded 2016-07-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7282 Intramural/InitialApplications Form Modified
222491 Extramural/ Financial Institutions Form and Instruction New
222490 Intramural/ Financial Institutions Form and Instruction New
184374 Extramural/ Recommenders and Institution Contacts Form Modified
184373 Extramural/ Advisors and Supervisors Form Modified
184372 Extramural/ Renewal Applicants Form Modified
184371 Intramural/ Advisors and Supervisors Form Modified
184370 Intramural/ Renewal Applications Form Modified
184368 Extramural/ Recommenders and Institution Contacts Form Modified
184367 Extramural/ Advisors and Supervisors Form Modified
184366 Extramural/ Initial Applicants Form Modified
184364 Intramural/Recommenders and Institution Contacts Form Modified
184363 Intramural/Advisors and Supervisors Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2019 36 Months From Approved 06/30/2017
13,218 0 13,390
33,242 0 34,925
0 0 0





table that charts list 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 13,218 13,390 0 -172 0 0
Annual Time Burden (Hours) 33,242 34,925 0 -1,683 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No