Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) and the Pediatric Specialty Loan Repayment Program

OMB 0906-0058

Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act or the ‘‘SUPPORT for Patients and Communities Act 2020 requires an STAR LRP application. The legislative authority stating the need for the information collected in this application is found in Substance Use–Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act or the ‘‘SUPPORT for Patients and Communities Act 2020. The Bureau of Health Workforce (BHW) in the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) will administer the STAR LRP. Under the STAR LRP, HHS will enter into contracts with selected primary care health professionals including behavioral health providers and paraprofessionals. In return, HHS will assist the awardees in their repayment of outstanding qualifying educational loans.

The latest form for Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) and the Pediatric Specialty Loan Repayment Program expires 2023-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 8 PS LRP Employment Verification Form Form and Instruction
Form 8 PS LRP Employment Verification Form Form and Instruction
Form 7 PS LRP Privacy Act Release Authorization Form Form and Instruction
Form 7 PS LRP Privacy Act Release Authorization Form Form and Instruction
Form 6 Pediatric Specialty LRP Authorization for Disclosure of Loan Information Form Form and Instruction
Form 6 Pediatric Specialty LRP Authorization for Disclosure of Loan Information Form Form and Instruction
Form 5 Pediatric Specialty LRP Application Form and Instruction
Form 5 Pediatric Specialty LRP Application Form and Instruction
Form 4 Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Employment Verification Form Form and Instruction
Form 4 Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Employment Verification Form Form and Instruction
Form 3 Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Privacy Act Release Authorization Form Form and Instruction
Form 3 Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Privacy Act Release Authorization Form Form and Instruction
Form 2 Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Authorization for Disclosure of Loan Information Form and Instruction
Form 2 Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Authorization for Disclosure of Loan Information Form and Instruction
Form 1 Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Program Application Form and Instruction
Form 1 Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Program Application Form and Instruction
HRSA STAR LRP Non-Substantive Change Memo_7.19.23.docx Justification for No Material/Nonsubstantive Change
HRSA STAR LRP Non-Substantive Change Memo_7.19.23.docx Justification for No Material/Nonsubstantive Change
FINAL OMB STAR LRP + Ped Spec LRP Supporting Statement A - 07.06.23.docx Supporting Statement A
FINAL OMB STAR LRP + Ped Spec LRP Supporting Statement A - 07.06.23.docx Supporting Statement A
PS LRP Employment Verification Form Form and Instruction
PS LRP Employment Verification Form Form and Instruction
PS LRP Privacy Act Release Authorization Form Form and Instruction
PS LRP Privacy Act Release Authorization Form Form and Instruction
Pediatric Specialty LRP Authorization for Disclosure of Loan Information Form Form and Instruction
Pediatric Specialty LRP Authorization for Disclosure of Loan Information Form Form and Instruction
Pediatric Specialty LRP Application Form and Instruction
Pediatric Specialty LRP Application Form and Instruction
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Employment Verification Form Form and Instruction
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Employment Verification Form Form and Instruction
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Privacy Act Release Authorization Form Form and Instruction
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Privacy Act Release Authorization Form Form and Instruction
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Authorization for Disclosure of Loan Information Form and Instruction
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Authorization for Disclosure of Loan Information Form and Instruction
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Program Application Form and Instruction
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Program Application Form and Instruction

All Historical Document Collections

202307-0906-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-07-20
202305-0906-003 Approved with change	Revision of a currently approved collection	2023-05-24
202009-0906-001 Approved without change	New collection (Request for a new OMB Control Number)	2020-09-08

OMB Details

Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) Program Application

Federal Enterprise Architecture: Health - Health Care Services

Form 1

STAR LRP Program - Program Application Content.docx

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.