Information Collection Request

Veterinary Medicine Loan Repayment Program (VMLRP)

ICR 202212-0524-001 · OMB 0524-0050 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form VMLRP NIFA VNLRP Employer Survey Form and Instruction Removed Available
Form VMLRP NIFA-09-10 Service Verification Form Form and Instruction Removed Available
Form VMLRP NIFA-09-10 Employers Form and Instruction Removed Repair queued
Form VMLRP - NIFA-04-10 Loan Information Form Form and Instruction Removed Available
Form VMLRP - NIFA-04-10 Finanicial Institutions Form and Instruction Removed Repair queued
Form Veterinarian Short State Animal Health Officials Form Modified Available
Form Veterinarian Short State Animal Health Officials Form Modified Repair queued
Veterinary Medicine Loan Repayment Program Guidance Manual March 2021 508.pdf Supplementary Document Uploaded 2022-12-15 Repair queued
0524-0050 Supp. Stmt. B.docx Supporting Statement B Uploaded 2022-12-15 Repair queued
0524-0050 VMLRP Supp. Stmt. A.docx Supporting Statement A Uploaded 2022-12-15 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
223385 Past Participants Other-Survey Modified
223384 Employers Form and Instruction RemovedVNLRP Employer Survey
223384 Employers Form and Instruction RemovedService Verification Form
223384 Employers Form and Instruction Removed
223383 Current Participants Other-Verification Modified
222271 Finanicial Institutions Form and Instruction RemovedLoan Information Form
222271 Finanicial Institutions Form and Instruction Removed
222231 Recommenders Other-Application Modified
222229 Applicants Other-Application Modified
222227 State Animal Health Officials Form ModifiedN/A
222227 State Animal Health Officials Form Modified
222227 State Animal Health Officials Other-Survey Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2026 36 Months From Approved 01/31/2023
59,590 0 41,520
16,798 0 12,458
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Applicants
Current Participants
Employers VMLRP NIFA, VMLRP NIFA-09-10 ,  
Finanicial Institutions VMLRP - NIFA-04-10
Past Participants
Recommenders
State Animal Health Officials Veterinarian Shortage Situation Nomination Form

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 59,590 41,520 0 18,070 0 0
Annual Time Burden (Hours) 16,798 12,458 0 4,340 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No