Current Participants

Veterinary Medicine Loan Repayment Program (VMLRP)

Documents and Forms

Document Name Document Type
Service Verification_AIedits.pdf Other-Verification
Service Verification_AIedits.pdf Other-Verification
Awardee Feedback Survey.pdf Other-Survey
Awardee Feedback Survey.pdf Other-Survey
Close Out Report.pdf Other-Report
Close Out Report.pdf Other-Report
Appendix A_Service Log Template.pdf Other-Log Template
Appendix A_Service Log Template.pdf Other-Log Template

Information Collection (IC) Details

IC Title:	Current Participants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Verification	Service Verification_AIedits.pdf	Yes	Yes	Fillable Fileable
Other-Survey	Awardee Feedback Survey.pdf	Yes	Yes	Fillable Fileable
Other-Report	Close Out Report.pdf	Yes	Yes	Fillable Fileable
Other-Log Template	Appendix A_Service Log Template.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 220	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	58,240	18,900	39,340
Annual IC Time Burden (Hours)	14,570	4,727	9,843
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.