Information Collection

Veterinary Medicine Loan Repayment Program Application

IC 191733 under ICR 201004-0524-002 · OMB 0524-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0047 can be found here:

Documents and Forms

Document Name Document Type
Form NIFA-0004 Veterinary Medicine Loan Repayment Program Application Form
NIFA-0004 Loan Information VMLRP - NIFA-04-10 - Loan Information Form 09-11-10 DRAFT.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Veterinary Medicine Loan Repayment Program Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 3431

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NIFA-0004	Loan Information	VMLRP - NIFA-04-10 - Loan Information Form 09-11-10 DRAFT.pdf		Yes	No	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,000	800	200
Annual IC Time Burden (Hours)	700	650	50
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.