Recommenders

National Institutes of Health Loan Repayment Programs

Documents and Forms

Document Name Document Type
Form 2 Recommenders Form and Instruction
2 Recommenders Recommender 08-02-2022.pdf Form and Instruction
2 Recommenders Recommender 08-02-2022.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Recommenders	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	2	Recommenders	Recommender 08-02-2022.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: DHHS 09-25-0165 National Institutes of Health (NIH) Office of Loan Repayment and Scholarship (OLRPS) Record System, HHS/NIH/OD	FR Citation: 67 FR 60742

Number of Respondents: 9,360	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	9,360	-1,400	10,760
Annual IC Time Burden (Hours)	4,680	-700	5,380
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.