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Form 3 Authorization for Disclosure of Loan Information
The National Health Service Corps (NHSC) Loan Repayment Programs
Authorization for Disclosure of Loan Information Form
Authorization for Disclosure of Loan Information Form
OMB: 0915-0127
OMB.report
HHS/HSA
OMB 0915-0127
ICR 202301-0915-003
IC 209460
Form 3 Authorization for Disclosure of Loan Information
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0915-0127 can be found here:
2024-04-11 - Revision of a currently approved collection
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