Change Request Memo

OMB Change Request Memo - LRP 03-23-2020.docx

National Institutes of Health Loan Repayment Programs

Change Request Memo

OMB: 0925-0361

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DATE: March 23, 2020


TO: Office of Management and Budget (OMB)


Through: Reports Clearance Officer, Debbie Kramer, DHHS1

Mikia P. Currie, Project Clearance Chief, NIH

Tawanda Abdelmouti, Project Clearance Liaison, OD


FROM: Ericka M. Boone, Ph.D.

Director, Division of Loan Repayment, OER, OD


SUBJECT: Change Request to a Currently Approved Form

(OMB # 0925-0361, Expiration Date 10/31/2022)


This is a request for OMB to approve non-substantial modifications to the National Institutes of Health Loan Repayment Programs information collection approved under 0925-0361 which does not change the approved data collection, burden hours, or number of respondents. We are adding the Research in Emerging Areas Critical to Human Health (REACH) LRP as a new program subcategory for applicants to choose from the dropdown list on the Profile Information form (NIH 2674-15). We are also adding a sentence to Section B, Paragraph 6 of the LRP contract (NIH 2674-12) to add emphasis that participants cannot receive any salary support or participate in research that receives funding support from a for-profit institution or organization.


Attachment A – NIH 2674-15 Profile Information


Attachment B – NIH 2674-12 LRP Contract


Your full consideration is appreciated.



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