NC SP Employment Verification Form

The Nursing Scholarship Program

OMB: 0915-0301

IC ID: 240478

Information Collection (IC) Details

View Information Collection (IC)

NC SP Employment Verification Form
 
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 6 NC SP Employment Verification Form Employment Verification Screenshot.docx Yes Yes Fillable Fileable

Health Health Care Services

 

500 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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 210 0 0 0 0 210
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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