OMB control number
Nurse Faculty Loan Program (NFLP) Program Specific Data Form
OMB 0915-0378 · HHS/HSA.
OMB 0915-0378
The NFLP Program Specific Data Form is included as an electronic attachment with the required application materials. The data provided in the form are essential for the formula-based criteria used to determine the award amount to the applicant schools. Approval of the revised NFLP Program Specific Data Form will facilitate our current effort to address the specific program goal of capturing data to efficiently generate the formula-based award. The electronic data collection capability will streamline the application submission process, enable an efficient award determination process and serve as a data repository to facilitate reporting on the use of funds and analysis of program outcomes.
The latest form for Nurse Faculty Loan Program (NFLP) Program Specific Data Form expires 2020-07-31 and is listed under ICR 201704-0915-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 Blank NFLP Application Data Form 0378.docx | Form and Instruction |
 FW Comments for Information Collection Request Title Nurse Faculty Loan ProgramRevised Program Specific Data Form OMB No. 09150378Revision. .msg (document unavailable) | Public Comments |
 CommmentsSupporting Statement_NFLP_0378_Final_BHW Response 5-3-17.doc | Supporting Statement A |
 Nurse Faculty Loan Program (NFLP) Program Specific Data Form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201704-0915-003 | Revision of a currently approved collection | 2017-04-26 | Approved without change | |
| 201402-0915-004 | New collection (Request for a new OMB Control Number) | 2014-02-14 | Approved with change |