OMB control number
Faculty Loan Repayment Program
OMB 0906-0082 · HHS/HRSA.
OMB 0906-0082
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.
The latest form for Faculty Loan Repayment Program expires 2027-01-31 and is listed under ICR 202605-0906-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 4 FLRP DAB Background Form Revised Clean- 5.8.26.docx | Form and Instruction |
| Form 3 01292024 Authorization to Release Information Form.docx | Form |
| Form 2 01292024 Institution Loan Repayment Form.docx | Form and Instruction |
| Non-Substantive Change Memo - SPD-15 BHW APGs - Final.docx | Justification for No Material/Nonsubstantive Change |
| OMB NonSubstantive Change Request Memo - FLRP Program - CLEAN 2026-05-19.docx | Justification for No Material/Nonsubstantive Change |
| 01262024 FLRP Supporting Statement - Clean.docx | Supporting Statement A |
 Faculty Loan Repayment Program Application |
Form and Instruction |
| Faculty Loan Repayment Program Application |
Form |
| Faculty Loan Repayment Program Application |
Form and Instruction |
| Faculty Loan Repayment Program Application |
Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202608-0906-002 | No material or nonsubstantive change to a currently approved collection | 2026-08-07 | ||
| 202401-0906-005 | Revision of a currently approved collection | 2024-01-31 | Approved with change |