PHYSICIAN'S CERTIFICATION OF BORROWER'S TOTAL AND PERMANENT DISABILITY

ICR 198607-1840-003

OMB: 1840-0028

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1840-0028 198607-1840-003
Historical Active 198605-1840-001
ED/OPE
PHYSICIAN'S CERTIFICATION OF BORROWER'S TOTAL AND PERMANENT DISABILITY
Extension without change of a currently approved collection   No
Regular
Approved without change 08/06/1986
Retrieve Notice of Action (NOA) 07/28/1986
THIS APPROVAL OF THE CHANGED FORM PERMITS EDUCATION TO CONTINUE USING THE PREVIOUS FORM UNTIL THE EXISTING REGULATIONS ARE CHANGED AND THE NEW DEFINITION OF DISABILITY REFLECTED IN THE LANGUAGE OF THE NEW FORM IS EFFECTIVE. EDUCATION MUST PROVIDE OMB WITH A PRINTED COPY OF THIS FORM.
  Inventory as of this Action Requested Previously Approved
08/31/1989 08/31/1989 09/30/1986
200 0 200
100 0 100
0 0 0

THE ED FORM 1172 IS SUBMITTED BY MEDICAL AUTHORITIES ON BEHALF OF BORROWERS WHO HOLD NDSL, FISL AND/OR CUBAN LOAN NOTES AND WHO DESIRE TO HAVE THE BALANCE OF THE NOTE CANCELLED DUE TO THE BORROWER'S TOTAL PERMANENT DISABILITY. THIS IS THE ONLY VEHICLE THE DPARTMENT OF EDUCATION HAS TO COLLECT THIS INFORMATION.

None
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No

1
IC Title Form No. Form Name
PHYSICIAN'S CERTIFICATION OF BORROWER'S TOTAL AND PERMANENT DISABILITY 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 200 200 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$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.
07/28/1986


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