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Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form
OMB 0915-0036
OMB.report
HHS/HSA
OMB 0915-0036
OMB 0915-0036
Latest Forms, Documents, and Supporting Material
Document
Name
Form 1 Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form
Form
Form 2 HEAL Lender's Application for Insurance Claim
Form
ss 0036 2011_FINAL.doc
Supporting Statement A
Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form
Form
HEAL Lender's Application for Insurance Claim
Form
All Historical Document Collections
201108-0915-002
Approved without change
Extension without change of a currently approved collection
2011-08-24
200807-0915-002
Approved without change
Extension without change of a currently approved collection
2008-07-29
200508-0915-001
Approved without change
Extension without change of a currently approved collection
2005-08-05
200206-0915-001
Approved without change
Extension without change of a currently approved collection
2002-06-07
199905-0915-001
Approved without change
Revision of a currently approved collection
1999-05-05
199809-0915-013
Approved without change
No material or nonsubstantive change to a currently approved collection
1998-09-15
199604-0915-003
Approved without change
Revision of a currently approved collection
1996-04-16
199303-0915-003
Approved without change
Revision of a currently approved collection
1993-03-22
199005-0915-001
Approved without change
Revision of a currently approved collection
1990-05-01
198908-0915-003
Approved with change
No material or nonsubstantive change to a currently approved collection
1989-08-03
198904-0915-013
Approved with change
No material or nonsubstantive change to a currently approved collection
1989-04-18
198904-0915-006
Approved with change
No material or nonsubstantive change to a currently approved collection
1989-04-03
198706-0915-004
Approved without change
Reinstatement with change of a previously approved collection
1987-06-25
198401-0915-007
Approved without change
Revision of a currently approved collection
1984-01-27
198204-0915-005
Approved without change
New collection (Request for a new OMB Control Number)
1982-04-20
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