Notification of Impending Graduation

Application for Participation in the IHS Scholarship Program

OMB: 0917-0006

IC ID: 263141

Information Collection (IC) Details

View Information Collection (IC)

Notification of Impending Graduation 856-13
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction IHS-856-13 Notice of Impending Graduation Notice of Impending Graduation_Final.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

170 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 170 0 170 0 0 0
Annual IC Time Burden (Hours) 28 0 28 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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