NHSC Site Application (including recertification)

The National Health Service Corps (NHSC) Loan Repayment Programs

OMB: 0915-0127

IC ID: 225047

Documents and Forms
Information Collection (IC) Details

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NHSC Site Application (including recertification)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 7 NHSC Site Application NHSC Site Application.docx Yes Yes Fillable Fileable

Health Health Care Services

 

4,070 0
   
Individuals or Households
 
   100 %

  Approved 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 4,070 0 0 0 0 4,070
Annual IC Time Burden (Hours) 2,035 0 0 0 0 2,035
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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