Faculty Loan Repayment Program

ICR 202311-0915-001

OMB: 0915-0150

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2023-11-16
IC Document Collections
ICR Details
0915-0150 202311-0915-001
Received in OIRA 202101-0915-001
HHS/HSA
Faculty Loan Repayment Program
Revision of a currently approved collection   No
Regular 11/17/2023
  Requested Previously Approved
36 Months From Approved 03/31/2024
860 744
527 456
0 0

The information collected will be used to evaluate applicants’ eligibility to participate in the Faculty Loan Repayment Program (FLRP), administered by the Bureau of Health Workforce, Department of Health and Human Services (HHS). The information collected will be used to evaluate applicants’ rank and tier in the FLRP award process and to monitor FLRP-related activities.

PL: Pub.L. 105 - 392 738(a) Name of Law: Health Professions Education Partnerships Act of 1998
   US Code: 42 USC 293b Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  88 FR 60693 09/05/2023
88 FR 78758 11/16/2023
No

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 860 744 0 116 0 0
Annual Time Burden (Hours) 527 456 0 71 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The burden hours increased due to an increase in the number of respondents.

$292,060
No
    Yes
    Yes
No
No
No
No
Joella Roland 301 945-0232 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/17/2023


© 2024 OMB.report | Privacy Policy