The Nursing Scholarship Program

The Nursing Scholarship Program

OMB: 0915-0301

IC ID: 43610

Information Collection (IC) Details

View Information Collection (IC)

The Nursing Scholarship Program
 
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 B Attachment B-Eligible Application screenshots .pdf Attachment B-Eligible Application screenshots .pdf Yes Yes Fillable Fileable
Form and Instruction C Attachment C-NCSP APG.docx Attachment C-NCSP APG.docx Yes Yes Fillable Fileable
Form and Instruction D Attachment D-Graduation Close Out Form.docx Attachment D-Graduation Close Out Form.docx Yes Yes Fillable Fileable
Form and Instruction E Attachment E - Confirmation of Interest Form Screenshots.pdf Attachement E - Confirmation of Interest Form Screenshots.pdf Yes Yes Fillable Fileable
Form and Instruction F Attachment F-Contract.pdf Attachment F-Contract.pdf Yes Yes Fillable Fileable
Form and Instruction G Attachment G - Data Collection Worksheet Screenshot.pdf Attachment G - Data Collection Worksheet Screenshot.pdf Yes Yes Fillable Fileable
Form and Instruction H Attachment H - School Enrollment Verification Form.pdf Attachment H - School Enrollment Verification Form.pdf Yes Yes Fillable Fileable
Form and Instruction I Attachment I-Initial Employment Verification Form.pdf Attachment I-Initial Employment Verification Form.pdf Yes Yes Fillable Fileable
Form and Instruction J Attachment J - Employer-Participant Service Verification Screenshots.pdf Attachment J - Employer-Participant Service Verification Screenshots.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

5,750 0
   
Individuals or Households
 
   100 %

  Requested 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 8,250 0 0 0 0 8,250
Annual IC Time Burden (Hours) 6,934 0 0 0 0 6,934
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Nursing Legislation Attachment A - Nursing Legislation.pdf 04/17/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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