OMB control number

The Nursing Scholarship Program

OMB 0915-0301 · HHS/HSA.

OMB 0915-0301

The Nurse Corps SP collects data to determine an applicant’s eligibility for the program, monitor a participant’s continued enrollment in a school of nursing, monitor the participant’s compliance with the Nurse Corps SP service obligation, and prepare annual reports to Congress. Generally, the following information will be collected (1) from the schools of nursing, on a quarterly basis - general applicant and nursing school data such as full name, location, tuition/fees, and enrollment status; (2) from the schools of nursing, on an annual basis - data concerning tuition/fees and overall student enrollment status; and (3) from the participants and their employing Critical Shortage Facility (CSF), on a biannual basis - data concerning the participant’s employment status, work schedule, and leave usage.

The latest form for The Nursing Scholarship Program expires 2028-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Nurse Corps SP Online Application User Guide Form
Form 1 Eligible Applications/Application Program Guidance Form
Form 9 Authorization To Release Information Form
Form 9 Authorization to Release Information Form Form
Form 8 Verification of Acceptance Form Form
Form 8 Verification of Acceptance Form Form
Form 7 In Service Verification (Screenshots) Form
Form 7 In Service Verification Form Form
Form 6 NC SP Employment Verification (Screenshot) Form
Form 6 NC SP Employment Verification Form Form
Form 5 Graduation Close Out Form Form
Form 5 Graduation Close Out Form Form
Form 4 Data Collection Worksheet Form Form
Form 4 Data Collection Worksheet Form Form
Form 3 Confirmation of Interest Form Form and Instruction
Form 3 Confirmation of Interest Form Form and Instruction
Form 2 School Enrollment Verification Form Form
Form 2 School Enrollment Verification Form Form
0915-0301- Supporting Statement A 08262025.docx Supporting Statement A
0915-0301- Supporting Statement A 08262025.docx Supporting Statement A
Eligible Applications/Application Program Guidance Form
Eligible Applications/Application Program Guidance Form
Authorization to Release Information Form Form
Authorization to Release Information Form Form
Verification of Acceptance Form Form
Verification of Acceptance Form Form
In Service Verification Form Form
In Service Verification Form Form
NC SP Employment Verification Form Form
NC SP Employment Verification Form Form
Graduation Close Out Form Form
Graduation Close Out Form Form
Data Collection Worksheet Form Form
Data Collection Worksheet Form Form
Confirmation of Interest Form Form and Instruction
Confirmation of Interest Form Form and Instruction
School Enrollment Verification Form Form
School Enrollment Verification Form Form

All Historical Document Collections

202508-0915-002	Revision of a currently approved collection	2025-08-29
202303-0915-003 Approved without change	Revision of a currently approved collection	2023-04-11
202003-0915-001 Approved without change	Revision of a currently approved collection	2020-03-10
201812-0915-002 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2018-12-18
201804-0915-003 Approved without change	Revision of a currently approved collection	2018-04-18
201504-0915-002 Approved without change	Revision of a currently approved collection	2015-04-15
201206-0915-004 Approved with change	Revision of a currently approved collection	2012-06-22
200907-0915-002 Approved without change	Extension without change of a currently approved collection	2009-07-24
200605-0915-001 Approved without change	Existing collection in use without an OMB Control Number	2006-05-16

OMB Details

Eligible Applications/Application Program Guidance

Federal Enterprise Architecture: Health - Health Care Services

Form 1

Nurse Corps SP Online Application User Guide

Fillable Fileable

Form

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