Nurse Faculty Loan Program (NFLP) Annual Performance Report Financial Data Form

ICR 202005-0915-002

OMB: 0915-0314

Federal Form Document

Forms and Documents
ICR Details
0915-0314 202005-0915-002
Active 201704-0915-004
HHS/HSA 21370
Nurse Faculty Loan Program (NFLP) Annual Performance Report Financial Data Form
Revision of a currently approved collection   No
Regular
Approved with change 08/04/2020
Retrieve Notice of Action (NOA) 05/12/2020
  Inventory as of this Action Requested Previously Approved
08/31/2023 36 Months From Approved 08/31/2020
350 0 260
2,280 0 1,560
0 0 0

This clearance request is for approval of both the Nurse Faculty Loan Program (NFLP) Program Specific Data Form and the Annual Performance Report (APR) Financial Data Form under the OMB Approval No. 0915-0314. The Program Specific Data Form is currently approved under OMB Approval No.: 0915-0378 with an expiration date of 7/31/2020 and the APR Financial Data Form is currently approved under OMB Approval No: 0915-0314 with an expiration date of 7/31/2020. The APR Form was previously titled as the Nurse Faculty Loan Program, Annual Operating Report.

US Code: 42 USC 297n-1, Section 846A Name of Law: Title VIII, PHSA
  
None

Not associated with rulemaking

  85 FR 7315 02/07/2020
85 FR 28017 05/12/2020
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 350 260 0 90 0 0
Annual Time Burden (Hours) 2,280 1,560 0 720 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Burden increase is due to the inclusion of a form previously in 0915-0378, which will be discontinued upon approval of this ICR to avoid redundancy. Burden decrease is due to the decrease in respondents for the Specific Data Form, from 260 to 90 respondents.

$8,888
No
    Yes
    Yes
Yes
No
No
No
Elyana Bowman 301 443-3983 enadjem@hrsa.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/12/2020


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