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Form 3E Verification of Disadvantaged Background Status
The National Health Service Corps Scholarship Program, Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program
Verification of Disadvantaged Background Status
S2S LRP - Verification of Disadvantaged Background
OMB: 0915-0146
OMB.report
HHS/HSA
OMB 0915-0146
ICR 202305-0915-001
IC 211169
Form 3E Verification of Disadvantaged Background Status
( )
⚠️ Notice: This form may be outdated.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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