S2S LRP - Letters of Recommendation

The National Health Service Corps Scholarship Program, Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program

Documents and Forms

Document Name Document Type
Form 3B-Instructions S2S LRP - Letters of Recommendation Form and Instruction
3B-Instructions Letters of Recommendations-Instructions Letters of Recommendations - Instructions.docx Form and Instruction
3B-Instructions Letters of Recommendations-Instructions Letters of Recommendations - Instructions.docx Form and Instruction
3B-Preceptor 3B Letters of Recommendation - Preceptor.docx Form and Instruction
3B-Preceptor 3B Letters of Recommendation - Preceptor.docx Form and Instruction

Information Collection (IC) Details

IC Title:	S2S LRP - Letters of Recommendation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3B-Instructions	Letters of Recommendations-Instructions	Letters of Recommendations - Instructions.docx		Yes	Yes	Fillable Fileable
Form and Instruction	3B-Preceptor	3B	Letters of Recommendation - Preceptor.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 284	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	284	-116	400
Annual IC Time Burden (Hours)	568	168	400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.