NHHSP - Acceptance/Verification of Good Standing Report

Application for Participation in the National Health Service Corps Scholarship Program

OMB: 0915-0146

IC ID: 211173

Information Collection (IC) Details

View Information Collection (IC)

NHHSP - Acceptance/Verification of Good Standing Report
 
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 and Instruction 1 NHHSP - Acceptance/Verification of Good Standing Report 2 NH ALL FORMS.pdf Yes Yes Fillable Printable

Health Health Care Services

 

1,110 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 1,110 0 0 0 0 1,110
Annual IC Time Burden (Hours) 278 0 0 0 0 278
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy