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S2S LRP - Letters of Recommendation
Application for Participation in the National Health Service Corps Scholarship Program
OMB: 0915-0146
IC ID: 211165
OMB.report
HHS/HSA
OMB 0915-0146
ICR 201609-0915-005
IC 211165
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0146 can be found here:
2023-05-09 - Revision of a currently approved collection
2020-06-17 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
nhsc-sp-online-application-user-guide.doc
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
S2S LRP - Letters of Recommendation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
nhsc-sp-online-application-user-guide.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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)
100
0
0
0
0
100
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.