The form is the means by which a
defaulted student loan borrower (and, if married, the borrower's
spouse), choosing to repay under the Income Contingent Repayment
Plan, provides written consent to the disclosure of certain tax
return information by the Internal Revenue Service to the
Department of Education and its agents for the purpose of
calculating the borrower monthly repayment amount.
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.