Indian Health Service Loan Repayment Program

OMB 0917-0014

The Indian Health Service (IHS) Loan Repayment Program (LRP) identifies health professionals with pre-existing financial obligations for education expenses that meet program criteria and who are qualified and willing to serve at, often remote, IHS health care facilities. Under the program, eligible health professionals sign a contract under which the IHS agrees to repay part or all of their indebtedness for professional training education. In exchange, the health professionals agree to serve for a specified period of time in IHS health care facilities. This information collection covers the application process for this program.

The latest form for Indian Health Service Loan Repayment Program expires 2021-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0917-0014 IHS Loan Application Form and Instruction
LRP 60 FRN 2024.pdf Supplementary Document
Supporting Statement LRP Final.pdf Supporting Statement A
60 day FR Publication 04-28-15 (2).pdf Supplementary Document
30 Day Federal Register Notice for IHS Loan Repayment Program, June 11, 2015.pdf Supplementary Document
IHS Loan Application Form and Instruction

All Historical Document Collections

202505-0917-001	Reinstatement without change of a previously approved collection	2025-05-21
202111-0917-001 Approved without change	Extension without change of a currently approved collection	2021-11-08
201803-0917-002 Approved without change	Extension without change of a currently approved collection	2018-05-09
201506-0917-001 Approved without change	Extension without change of a currently approved collection	2015-06-24
201205-0917-001 Approved with change	Extension without change of a currently approved collection	2012-05-15
200811-0917-001 Approved with change	Revision of a currently approved collection	2008-11-18
200510-0917-002 Approved with change	Revision of a currently approved collection	2005-10-14
200211-0917-001 Approved without change	Extension without change of a currently approved collection	2002-11-01
199910-0917-001 Approved without change	Extension without change of a currently approved collection	1999-10-04
199609-0917-002 Approved without change	Reinstatement with change of a previously approved collection	1996-09-20
199212-0917-001 Approved without change	Revision of a currently approved collection	1992-12-11
199106-0917-001 Approved without change	New collection (Request for a new OMB Control Number)	1991-06-17