OMB control number

The Advanced Nursing Education (ANE) Program Specific Form

OMB 0915-0375 · HHS/HSA.

OMB 0915-0375

HRSA will use this information in determining the amount of traineeship support to be awarded per student per institution, and to succinctly capture data for the number of projected students for determining eligibility for Special Consideration and Statutory Funding Preference.

The latest form for The Advanced Nursing Education (ANE) Program Specific Form expires 2023-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 ANE Program Specific Form Form and Instruction
ANE Program Specific Form Supporting Statement A - Final Draft 03072024.docx Supporting Statement A
ANE Program Specific Form Form and Instruction

All Historical Document Collections

202403-0915-002 Approved with change	Revision of a currently approved collection	2024-03-07
202111-0915-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-11-16
202109-0915-002 Approved without change	Revision of a currently approved collection	2021-09-28
202004-0915-003 Approved without change	Extension without change of a currently approved collection	2020-04-17
201701-0915-005 Approved without change	Revision of a currently approved collection	2017-01-13
201311-0915-002 Approved without change	New collection (Request for a new OMB Control Number)	2013-11-12