PHYSICIAN'S CERTIFICATION OF BORROWER'S TOTAL AND PERMANENT DISABILITY FOR STUDENT LOAN PROGRAM

ICR 198301-1840-001

OMB: 1840-0028

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1840-0028 198301-1840-001
Historical Active 198111-1840-004
ED/OPE
PHYSICIAN'S CERTIFICATION OF BORROWER'S TOTAL AND PERMANENT DISABILITY FOR STUDENT LOAN PROGRAM
Revision of a currently approved collection   No
Regular
Approved without change 02/10/1983
Retrieve Notice of Action (NOA) 01/06/1983
  Inventory as of this Action Requested Previously Approved
09/30/1985 09/30/1985 09/30/1983
5,000 0 7,000
1,750 0 2,167
0 0 0

THIS FORM WILL BE USED BY A BORROWERS WHO DIES OR BECOMES PERMANENTLY AND TOTALLY DISABLED AS DETERMINED IN THE REGULATION OF THE PROGRAM. THE BORROWER OR THE BORROWER'S REPRESENTATIVE OBTAINS A PHYSICIAN CERTIFICATION STATING THAT THE BORROWER DIED OR IS TOTALLY AND PERMANENTLY DISABLED FOR THE PURPOSE OF CANCELLING THE BORROWER'S OBLIGATION TO REPAY THE STUDENT LOAN.

None
None


No

1
IC Title Form No. Form Name
PHYSICIAN'S CERTIFICATION OF BORROWER'S TOTAL AND PERMANENT DISABILITY FOR STUDENT LOAN PROGRAM ED 1172

  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 5,000 7,000 0 -2,000 0 0
Annual Time Burden (Hours) 1,750 2,167 0 -417 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
01/06/1983


© 2024 OMB.report | Privacy Policy