Information Collection

DOD Education Loan Repayment Program

IC 5264 under ICR 200608-0704-009 · OMB 0704-0152.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0152 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2475 DOD Education Loan Repayment Program	Form and Instruction
DD Form 2475 DoD Educational Loan Repayment Program (LRP) Annual Appl dd2475_draft.pdf	Form and Instruction
0704-0152 Signed 83-I.pdf 0704-0152 Signed 83-I.pdf	IC Document
AUTHORITY LINKS.doc Authority Links	IC Document

IC Title:

DOD Education Loan Repayment Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DD Form 2475	DoD Educational Loan Repayment Program (LRP) Annual Application	dd2475_draft.pdf		Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	17,500	-13,500	31,000
Annual IC Time Burden (Hours)	2,917	-2,250	5,167
Annual IC Cost Burden (Dollars)	46,550	46,550	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0704-0152 Signed 83-I.pdf	0704-0152 Signed 83-I.pdf	08/29/2006
Authority Links	AUTHORITY LINKS.doc	08/29/2006

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.