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 is listed under ICR 202508-0915-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
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

Historical document collections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

OMB Details

Eligible Applications/Application Program Guidance

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
Form	Name	Electronic access	Type
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.