Application for Contract of Federal Loan Insurance (HEAL Form 504)

Health Education Assistance Loan (HEAL) Program: Forms

OMB: 1845-0128

IC ID: 43609

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Application for Contract of Federal Loan Insurance (HEAL Form 504)
 
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 NA HEAL Form 504 Contract for Federal Loan Insurance HEAL Form 504.docx No   Paper Only

Education Higher Education

Health Education Assistance Loan (HEAL) Program  83 FR 157

13 0
   
Private Sector Businesses or other for-profits
 
   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 13 0 0 -46 0 59
Annual IC Time Burden (Hours) 2 0 0 -7 0 9
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
BLS_Tape_Specs BLS_Tape_Specs.pdf 07/31/2012
Loan_Pur_Consol_Tape_Specs Loan_Pur_Consol_Tape_Specs.doc 07/31/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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