Information Collection

S2S LRP - Letters of Recommendation

IC 211165 under ICR 201706-0915-003 · OMB 0915-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 S2S LRP - Letters of Recommendation	Form and Instruction
1 FY 2017 NHSC S2S LRP Preceptor Letter of Recommendation FY 2017 NHSC S2S LRP Preceptor Letter of Recommendation Instructions.docx	Form and Instruction
2 FY 2017 NHSC S2S LRP Additional Letter of Recommendation FY 2017 NHSC S2S LRP Additional Letter of Recommendation Instructions.docx	Form and Instruction

IC Title:

S2S LRP - Letters of Recommendation

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	1	FY 2017 NHSC S2S LRP Preceptor Letter of Recommendation Instructions.docx	FY 2017 NHSC S2S LRP Preceptor Letter of Recommendation Instructions.docx		Yes	Yes	Paper Only
Form and Instruction	2	FY 2017 NHSC S2S LRP Additional Letter of Recommendation Instructions.docx	FY 2017 NHSC S2S LRP Additional Letter of Recommendation Instructions.docx		Yes	Yes	Paper Only

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	100	100
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.