Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form

ICR 202303-1845-005

OMB: 1845-0127

Federal Form Document

Forms and Documents

Document Name	Status
HEAL Request for Collection Assistance Form (Form 513) Form	Modified
HEAL Lender's Application for Insurance Claim Form (Form 510) Form	Modified
1845-0127 Supporting Statement 30D 2023 rev.docx Supporting Statement A	2023-05-31

IC Document Collections

IC ID	Document Title	Status
6323	HEAL Request for Collection Assistance Form (Form 513) Form	Modified
185895	HEAL Lender's Application for Insurance Claim Form (Form 510) Form	Modified