OMB
.report
Search
NHSC SP Letters of Recommendation
The National Health Service Corps Scholarship Program, Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program
OMB: 0915-0146
IC ID: 211154
OMB.report
HHS/HSA
OMB 0915-0146
ICR 202006-0915-004
IC 211154
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0146 can be found here:
2023-05-09 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
NHSC SP Letters of Recommendation Inst Form.pdf
Other-Letters of Recommendation
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NHSC SP Letters of Recommendation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Letters of Recommendation
NHSC SP Letters of Recommendation Inst Form.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,889
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,778
0
178
0
0
3,600
Annual IC Time Burden (Hours)
3,778
0
1,978
0
0
1,800
Annual IC Cost Burden (Dollars)
0
0
0
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.