Initital Extramural Applicants

National Institutes of Health Loan Repayment Programs

OMB: 0925-0361

IC ID: 237381

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Initital Extramural Applicants
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Applicant Attachment 2 Applicant.pdf Yes Yes Fillable Fileable

Health Health Care Services

DHHS 09-25-0165 National Institutes of Health (NIH) Office of Loan Repayment and Scholarship (OLRPS) Record System, HHS/NIH/OD  67 FR 60742

1,650 0
   
Private Sector Not-for-profit institutions
 
   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 1,650 0 1,650 0 0 0
Annual IC Time Burden (Hours) 13,200 0 13,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Eligibility - Health Disparities (HD) Eligibilty - HD with burden statement.pdf 08/15/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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