NHSC SP – Receipt of Exceptional Financial Need Scholarship

Application for Participation in the National Health Service Corps Scholarship Program

OMB: 0915-0146

IC ID: 211159

Information Collection (IC) Details

View Information Collection (IC)

NHSC SP – Receipt of Exceptional Financial Need Scholarship
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 NHSC SP – Receipt of Exceptional Financial Need Scholarship 5 NHSC SP Verification of Exceptional Financial Need.pdf Yes Yes Fillable Printable

Health Health Care Services

 

200 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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 50 0 0 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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