Employers

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⚠️ Notice: This information collection may be referencing outdated material.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-09-10 Employers Form and Instruction
VMLRP NIFA-09-10 Service Verification Form VMLRP - NIFA-09-10 - Service Verification.pdf Form and Instruction
VMLRP NIFA VNLRP Employer Survey VMLRP_Employer Survey.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Employers	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VMLRP NIFA-09-10	Service Verification Form	VMLRP - NIFA-09-10 - Service Verification.pdf		Yes	Yes	Fillable Printable
Form and Instruction	VMLRP NIFA	VNLRP Employer Survey	VMLRP_Employer Survey.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: 90	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	390	240	150
Annual IC Time Burden (Hours)	98	60	38
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.