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NHHSP 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: 242292
OMB.report
HHS/HSA
OMB 0915-0146
ICR 202305-0915-001
IC 242292
( )
Documents and Forms
Document Name
Document Type
Form 4B
NHHSP Authorization to Release Information
Form and Instruction
4B NHHSP Authorization to Release Information
NHHSP Authorization to Release Information.docx
Form and Instruction
Information Collection (IC) Details
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