OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

NURSE Corps LRP Application

IC 6368 under ICR 202212-0915-001 · OMB 0915-0140.

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

View Information Collection (IC)

NURSE Corps LRP Application
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
5 CFR 1320.5(d)(2) 31 CFR 208, 210  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 NC LRP - Application Form - Revised.docx NC LRP - Application Form - Revised.docx Yes Yes Fillable Fileable

Health Health Care Services

Public Health Service and National Health Service Corps Scholarship/Loan Repayment Participants Records System  58 FR 12968

7,100 0
   
Individuals or Households
 
   100 %

  Requested 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 7,100 0 0 0 0 7,100
Annual IC Time Burden (Hours) 14,200 0 0 0 0 14,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
APPLICATION INSTRUCTIONS nelrp-online-application-user-guide APPLICATION INSTRUCTIONS nelrp-online-application-user-guide.pdf 02/04/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.