Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form - Form 513

Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form

OMB: 1845-0127

IC ID: 6323

Information Collection (IC) Details

View Information Collection (IC)

Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form - Form 513
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 60.35

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NA 513 Form 1845-0127 HEAL form 513 Draft 2017-Revised.doc Yes Yes Fillable Fileable

Education Higher Education

Health Education Assistance Loan  79 FR 36299

13 0
   
Private Sector Businesses or other for-profits
 
   92 %

  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 4,338 0 0 -1,447 0 5,785
Annual IC Time Burden (Hours) 737 0 0 -246 0 983
Annual IC Cost Burden (Dollars) 35 0 -11 0 0 46

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