National Institutes of Health Loan Repayment Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Application	Form	Modified	Available
Form 1 Application	Form	Modified	Available
Form 1 Application	Form	Modified	Available
Form 1 Applicant	Form and Instruction	Removed	Repair queued
Form 1 Applicant	Form and Instruction	Removed	Available
Form 1 Applicant	Form and Instruction	Removed	Available
Form 1 Application	Form	Modified	Available
Loan Repayment Supporting Statement A_03_04_2026.docx	Supporting Statement A	Uploaded 2026-03-24	Repair queued
HHS Approved - eRA Privacy Impact Assessment 2025.03.06.pdf	Supplementary Document	Uploaded 2026-03-24	Repair queued
30day LRP.pdf	Supplementary Document	Uploaded 2026-03-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237390	NIH LRP Coordinators	Form	Modified	Application
237390	NIH LRP Coordinators	Form	Modified
237389	Institutional Business Officers (IBO)	Form	Modified	Application
237389	Institutional Business Officers (IBO)	Form	Modified
237387	Recommenders	Form	Modified	Application
237387	Recommenders	Form	Modified
237384	Renewal Intramural Applicants	Form and Instruction	Removed	Applicant
237384	Renewal Intramural Applicants	Form and Instruction	Removed
237383	Initial Intramural Applicants	Form and Instruction	Removed	Applicant
237383	Initial Intramural Applicants	Form and Instruction	Removed
237382	Renewal Extramural Applicants	Form and Instruction	Removed	Applicant
237382	Renewal Extramural Applicants	Form and Instruction	Removed
237381	Applicants	Form	Modified	Application
237381	Applicants	Form	Modified

ICR Details

OMB Control No: 0925-0361	ICR Reference No: 202602-0925-001
Status: Received in OIRA	Previous ICR Reference No: 202505-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Institutes of Health Loan Repayment Programs
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/24/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	12,220	14,120
Time Burden (Hours)	20,802	23,952
Cost Burden (Dollars)	0	0

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Abstract: This is an extension of a currently approved collection, OMB Control #0925-0361, with an expiration date of 03/31/2026. The NIH Loan Repayment Programs (LRPs) are designed to attract highly qualified physicians and other scientific or medical personnel to research opportunities at the National Institutes of Health (NIH, Intramural) and non-NIH sites (Extramural). Currently there are three Intramural and six Extramural subcategories. Intramural subcategories include AIDS Research, Clinical Researchers from Disadvantaged Backgrounds, and General Research. Extramural subcategories include Clinical Research, Pediatric Research, Contraception and Infertility Research, Health Disparities Research, Clinical Researchers from Disadvantaged Backgrounds, and Research in Emerging Areas Critical to Human Health. Data collected through application forms is necessary to determine an applicant’s eligibility for the program, including the applicant’s research plans and career interests.

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Authorizing Statute(s): US Code: 42 USC 288-1 Name of Law: AIDS Research loan Repayment Program
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 60110	12/23/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 14030	03/24/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Applicants	1	Application
Initial Intramural Applicants	1	Applicant
Institutional Business Officers (IBO)	1	Application
NIH LRP Coordinators	1	Application
Recommenders	1	Application
Renewal Extramural Applicants	1	Applicant
Renewal Intramural Applicants	1	Applicant

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ICR Summary of Burden

table that charts list of burden

	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	12,220	14,120	0	-900	-1,000	0
Annual Time Burden (Hours)	20,802	23,952	0	4,850	-8,000	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Although the formatting of the forms may appear different due to the ASSIST module, there are no changes to the collection instruments themselves (in other words, the changes are only aesthetic). The number of applicant have been reduced.

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Annual Cost to Federal Government: $2,074,637

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/24/2026

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