NHSC Site Application (including recertification)

The National Health Service Corps (NHSC) Loan Repayment Programs

OMB: 0915-0127

IC ID: 225047

Information Collection (IC) Details

View Information Collection (IC)

NHSC Site Application (including recertification)
 
No Modified
 
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 7 FY20 New Site Application Content Package.docx FY20 New Site Application Content Package.docx Yes Yes Fillable Fileable

Health Health Care Services

 

4,070 0
   
Individuals or Households
 
   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 4,070 0 370 0 0 3,700
Annual IC Time Burden (Hours) 2,035 0 185 0 0 1,850
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy