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⚠️ Notice: This information collection may be outdated.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
| 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 | Repair queued |
| 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 |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 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 |
ICR Details
| 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 |