Did You Know?
- Applying to the Loan Repayment Program Just Got Easier! (PDF – 247 KB)
  (10/23/2009)
- The sooner you apply, the better your chances of funding. Recovery Act Loan Repayment awards will be made on a first-come, first-served basis.
- You have more choices of sites and vacancies. Under the Recovery Act, sites with lower HPSA scores are eligible and sites can list more vacancies.
- You can apply before you are employed at an approved site. You just need to be able to begin work within 30 days of being notified that you have been selected to participate in the Loan Repayment Program.
- You’ll know sooner if you are selected for funding. Most applications will be processed within eight weeks of the submission of a complete application (on-line application, supplemental paper forms and required documentation).

Applicant Information Bulletin

Table of Contents

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Applicant Information Bulletin to save and print (PDF - 366 KB)

Forms, Instructions and Contract (PDF – 321 KB)

Program Overview
Privacy Act Notification Statement
Introduction
Eligibility Requirements
Service Requirements
Definitions

Privacy Act Notification Statement

General

This information is provided pursuant to the Privacy Act of 1974 (Public Law 93-579), as amended, for individuals supplying information for inclusion in a system of records.

Statutory Authority and Program Administration

Section 338B of the Public Health Service (PHS) Act (42 United States Code Section 254l-1), as amended.

Purposes and Uses

The purpose of the National Health Service Corps (NHSC) Loan Repayment Program (LRP) is to attract and retain medical, dental, and mental health clinicians in eligible communities of need designated as Health Professional Shortage Areas (HPSA). The information applicants supply will be used to evaluate their eligibility, qualifications and suitability for participating in the NHSC LRP. In addition, information from other sources will be considered (e.g., credit bureau reports and National Practitioner Data Bank queries).

A participant’s contract, application, supporting documentation, related correspondence, and data are maintained in a system of records to be used within the U.S. Department of Health and Human Services to monitor NHSC LRP-related activities. The information may also be disclosed outside the Department, as permitted by the Privacy Act and Freedom of Information Act, to the Congress, the National Archives, the General Accounting Office, and pursuant to court order and various routine uses (see: http://www.hrsa.gov/privacyact/sorn/09150037.htm).

The name of an NHSC LRP participant, discipline, specialty, business address, and telephone number, and service obligation completion date may be provided to professional placement firms in response to requests made under the Freedom of Information Act.

Effects of Nondisclosure

Disclosure of the information sought is voluntary; however, if not submitted, except for the replies to questions related to Race/Ethnicity (Section I of the online application for NHSC LRP), an application may be considered incomplete and therefore may not be considered for an award under this announcement.

Paperwork Reduction Act Public Burden Statement

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current OMB control number. The current Office of Management and Budget (OMB) control number for information collected through this application process is 0915-0217. Public reporting burden for this collection is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Office, 5600 Fishers Lane, Room 10-33, Rockville, Maryland 20857.

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