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S2S LRP – Authorization to Release Information
The National Health Service Corps Scholarship Program, Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program
OMB: 0915-0146
IC ID: 211166
OMB.report
HHS/HSA
OMB 0915-0146
ICR 202305-0915-001
IC 211166
( )
Documents and Forms
Document Name
Document Type
Form 3C
S2S LRP – Authorization to Release Information
Form and Instruction
3C NHSC S2S LRP Authorization to Release Information Form.pdf
NHSC S2S LRP Authorization to Release Information Form.pdf
Form and Instruction
Information Collection (IC) Details
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