Pediatric Specialty LRP Authorization for Disclosure of Loan Information Form

Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0906-0058 can be found here:

Documents and Forms

Document Name Document Type
Form 6 Pediatric Specialty LRP Authorization for Disclosure of Loan Information Form Form and Instruction
6 Pediatric Specialty LRP Auth for Disc of Loan Info Form PS LRP Auth for Disc of Loan Info Form.docx Form and Instruction

Information Collection (IC) Details