Document
Record and Report Table - Revolving Loans
ICR 202610-0906-003 · OMB 0906-0088 · Object 173722900.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Record and Report Table - Revolving Loans |
| Author | Windows User |
| Last Modified By | Writer |
| File Modified | 2026-08-14 |
| File Created | 2026-10-22 |
| Conversion State | complete |
Extracted Text
Recordkeeping Requirements Regulatory/section requirements Number of Record keepers Hours per year Total Burden Hours HPSL/LDS/PCL Programs: Documentation of Cost of Attendance 432 1.05 454 Promissory Note 432 1.25 540 Documentation of Entrance Interview 432 1.25 540 Documentation of Exit Interview 475 0.37 176 Program Records 475 10 4,750 Student Records 475 10 4,750 Repayment Records 475 19.55 9,286 HPSL/LDS/PCL Subtotal 20,496 Regulatory/section requirements Number of Record keepers Hours per year Total Burden Hours NSL Program: Documentation of Cost of Attendance 304 0.25 76 Promissory Note 304 0.50 152 Documentation of Entrance Interview 304 0.50 152 Documentation of Exit Interview 486 0.14 68 Program Records 486 5 2,430 Student Records 486 1 486 Repayment Records 486 2.51 1,220 NSL Subtotal 4,584 Recordkeeping Requirements Total 25,080 Reporting Requirements Regulatory/section requirements Number of Respondents Responses per Respondent Total annual responses Hours per response Total hour burden HPSL/LDS/PCL Programs: Student Financial Aid Transcript 4,600 1 4,600 0.25 1,150 Loan Information Disclosure 325 299.5 97,338 0.63 61,323 Entrance Interview 325 139.5 45,338 0.50 22,669 Exit Interview 334 113.5 37,909 1.00 37,909 Notification of Repayment 334 862.5 288,075 0.38 109,469 Notification During Deferment 333 17 5,661 0.63 3,566 Notification of Delinquent Accounts 334 172.5 57,615 1.25 72,019 Credit Bureau Notification 334 6 2,004 0.50 1,002 Write-off of Uncollectible Loans 520 1 520 3 1560 Disability Cancellation 3 1 3 1 3 Administrative Hearings **10 1 10 1 10 Administrative Hearings **10 1 10 1 10 HPSL/LDS/PCL Subtotal *334 539,083 310,690 * Respondents include schools and individual requests for transcripts, and includes active and closing schools ** These figures are based on estimates and have not been exceeded in recent years. Reporting Requirements Continued Regulatory/section requirements Number of Respondents Responses per Respondent Total annual responses Hours per response Total hour burden NSL Program: Student Financial Aid Transcript 4,100 1 4,100 0.25 1,025 Entrance Interview 282 17.5 4,935 0.42 2,073 Exit Interview 348 9 3,132 0.42 1,315 Notification of Repayment 348 9 3,132 0.27 846 Notification During Deferment 348 1.5 522 0.29 151 Notification of Delinquent Accounts 348 42.5 14,790 0.04 592 Credit Bureau Notification 348 709 246,732 0.006 1,480 Write-off of Uncollectible Loans 23 1 23 3 69 Disability Cancellation 16 1 16 1 16 Administrative Hearings 0 0 0 0 0 Administrative Hearings **10 1 10 1 10 NSL Subtotal *348 277,392 7,577 Reporting Requirements Total 318,267 AOR-HRSA Form 501 726 1 726 12 8,712 Deferment- HRSA Form 519 2060 1 2060 .5 1,030 Forms Total 2,786 2,786 9,742 *Includes active and closing schools. ** These figures are based on estimates and have not been exceeded in recent years. Summary of Totals Instruments (HPSL, LDS, PCL, & NCL) Number of Respondents Responses per Respondent Total annual responses Hours per response Total hour burden Forms Total 2,786 2,786 9,742 Recordkeeping & Reporting Requirements Total 343,317 GRAND TOTAL (instruments & recordkeeping requirements) 353,059 Definitions Documentation of Cost of Attendance School must document criteria used for determining reasonable costs necessary for the students attendance. Promissory Note Each HPSL, LDS, NSL or PCL loan must be evidenced by a Promissory Note. Documentation of Entrance Interview School much conduct an entrance interview with borrower prior to disbursing HPSL, LDS, NSL or PCL funds. Documentation of Exit Interview School must document an exit interview with the borrower. Program Records School must maintain records relating to HPSL, LDS, NSL or PCL funds. Student Records Approved student applications, documentation of financial need records and financial aid transcripts. Repayment Records Repayment records for each borrower. Student Financial Aid Transcript Applicants who attended an institution of higher education must submit a financial aid transcript. Loan Disclosure Requirements School must disclose loan information to students with receive HPSL, LDS, NSL or PCL. Notification of Repayment School must notify borrower in writing of repayment obligation. Notification during Deferment School must notify borrower in deferment of repayment obligations 1 to 3 prior to expiration. Notification of Delinquent Accounts School must make at least for attempts to contact borrower prior to loan becoming 120 days past due. Credit Bureau Notification School must become a member of a credit bureau and notify the credit bureau of accounts past due. Write-off of Uncollectible Loans School must contact the Department within 30 days of determining that the loan is Uncollectible. Disability Cancellation School must recommend do the Secretary a borrower to be permanently and totally Disabled. Evidence of Educational Loans Borrowers must provide evidence of loans for which they are requesting partial payment for service in a health professional shortage area. Administrative Hearings A school which fails to comply with reporting requirements relating to the operation of the program may request a formal hearing. Administrative Hearings A school which fails to comply with requirement to reduce its default rates may request a formal hearing. Public Burden Statement: The purpose of this information collection request is to obtain information for the administrative requirements pertaining to the Health Professions Student Loan (HPSL), Loans for Disadvantaged Students (LDS), Primary Care Loan (PCL) and Nursing Student Loan Programs (NSL). Participating HPSL, LDS, PCL and NSL schools are responsible for determining eligibility of applicants making loans, and collecting monies owed by borrowers on their outstanding loans. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this information collection is 0906-0088 and it is valid until XX/XX/202X. Public reporting burden for this collection of information is estimated to average xx hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 13N82, Rockville, Maryland, 20857.