Information Collection Request

The Nursing Scholarship Program

ICR 202303-0915-003 · OMB 0915-0301 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0915-0301 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form 1 Eligible Applications/Application Program Guidance	Form	Modified	Repair queued
Form 10 Authorization to Release Information Form	Form	Modified	Repair queued
Form 9 CSF Verification Form	Form	Removed	Repair queued
Form 8 Verification of Acceptance Form	Form	Modified	Missing upstream
Form 7 In Service Verification Form	Form	Modified	Repair queued
Form 6 NC SP Employment Verification Form	Form	Modified	Repair queued
Form 5 Graduation Close Out Form	Form	Modified	Repair queued
Form 4 Data Collection Worksheet Form	Form	Modified	Repair queued
Form 3 Confirmation of Interest Form	Form and Instruction	Modified	Repair queued
Form 2 School Enrollment Verification Form	Form	Modified	Repair queued
NC SP - Supporting Statement .docx	Supporting Statement A	Uploaded 2023-03-17	Repair queued

Information collection document groups
IC ID	Collection	Type	Status
43610	Eligible Applications/Application Program Guidance	Form	Modified
240484	Authorization to Release Information Form	Form	Modified
240483	CSF Verification Form	Form	Removed
240481	Verification of Acceptance Form	Form	Modified
240480	In Service Verification Form	Form	Modified
240478	NC SP Employment Verification Form	Form	Modified
240475	Graduation Close Out Form	Form	Modified
240473	Data Collection Worksheet Form	Form	Modified
240471	Confirmation of Interest Form	Form and Instruction	Modified
240469	School Enrollment Verification Form	Form	Modified

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/HSA
OMB Control No	0915-0301
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202003-0915-001
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31