Applicants

Veterinary Medicine Loan Repayment Program (VMLRP)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form VMLRP -NIFA-04-10 Applicants Form and Instruction
VMLRP - NIFA-01-10 Applicant Information VMLRP - NIFA-01-10 - Applicant Information.pdf Form and Instruction
VMLRP -NIFA-02-10 Personal Statement VMLRP - NIFA-02-10 - Personal Statement FY17_update.doc Form and Instruction
VMLRP - NIFA-03-10 List of Recommenders VMLRP - NIFA-03-10 - List of Recommenders.pdf Form and Instruction
VMLRP -NIFA-04-10 Loan Information Form VMLRP - NIFA-04-10 - Loan Information Form.pdf Form and Instruction
VMLRP NIFA-05-10 Contract Form VMLRP - NIFA-05-10 - Contract_OMB update.pdf Form and Instruction
VMLRP - NIFA-06-10 Certifications for Application Form VMLRP - NIFA-06-10 - Certifications for Application.pdf Form and Instruction
VMLRP -NIFA-07-10 Intent of Employee Form VMLRP - NIFA-07-10 - Intent of Employment.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Applicants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VMLRP -NIFA-04-10	Loan Information Form	VMLRP - NIFA-04-10 - Loan Information Form.pdf	Yes	Yes	Fillable Printable
Form and Instruction	VMLRP NIFA-05-10	Contract Form	VMLRP - NIFA-05-10 - Contract_OMB update.pdf	Yes	Yes	Fillable Printable
Form and Instruction	VMLRP - NIFA-06-10	Certifications for Application Form	VMLRP - NIFA-06-10 - Certifications for Application.pdf	Yes	Yes	Fillable Printable
Form and Instruction	VMLRP -NIFA-07-10	Intent of Employee Form	VMLRP - NIFA-07-10 - Intent of Employment.pdf	Yes	Yes	Fillable Printable
Form and Instruction	VMLRP - NIFA-01-10	Applicant Information	VMLRP - NIFA-01-10 - Applicant Information.pdf	Yes	Yes	Fillable Printable
Form and Instruction	VMLRP -NIFA-02-10	Personal Statement	VMLRP - NIFA-02-10 - Personal Statement FY17_update.doc	Yes	Yes	Fillable Printable
Form and Instruction	VMLRP - NIFA-03-10	List of Recommenders	VMLRP - NIFA-03-10 - List of Recommenders.pdf	Yes	Yes	Fillable Printable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	750	660	90
Annual IC Time Burden (Hours)	1,500	1,410	90
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.