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Form 1C Authorization to Release Information
The National Health Service Corps Scholarship Program, Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program
Authorization to Release Information
NHSC SP Authorization to Release Information
OMB: 0915-0146
OMB.report
HHS/HSA
OMB 0915-0146
ICR 202305-0915-001
IC 211155
Form 1C Authorization to Release Information
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0915-0146 can be found here:
2025-12-16 - Revision of a currently approved collection
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