Information Collection

Veterinary Medicine Loan Repayment Shortage Nomination Form Nonrespondents

IC 222271 under ICR 201701-0524-001 · OMB 0524-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NON-Response Place Holder.doc	Other-Place Holder

IC Title:

Veterinary Medicine Loan Repayment Shortage Nomination Form Nonrespondents

Agency IC Tracking Number:

0524-0039

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Place Holder			NON-Response Place Holder.doc		No		Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title: Veterinary Medicine Loan Repayment Program

FR Citation: 75 FR 77607

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	90	90
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.