Information Collection

Attorney Student Loan Repayment Program Electronic Forms

IC 179346 under ICR 200703-1105-002 · OMB 1105-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0086 can be found here:

Documents and Forms

Document Name Document Type
Form xxxx Attorney Student Loan Repayment Program Electronic Forms Form
xxxx Renewal of Incentive Payments renewalofincentive.pdf www.usdoj.gov/oarm/aslrp/renewalofincentive.pdf Form
xxxx Request for Consideration requestforconsideration.pdf www.usdoj.gov/oarm/aslrp/requestforconsideration.pdf Form and Instruction
xxxx Service Agreement serviceagreement.pdf http"//www.usdoj.gov/oarm/aslrp/serviceagreement.pdf Form and Instruction
xxxx Loan Information Continuation loaninformationcontinuation.pdf Form and Instruction
xxxx Renewal of Incentive Part 3 renewalofincentivept3.pdf Form and Instruction
xxxx Renewal of Incentive Part 4 renewalofincentivept4.pdf Form and Instruction
xxxx Request Organization Input Part 3 requestorganizationinputpt3.pdf Form and Instruction
xxxx Request Organization Input Part 4 requestorganizationinputpt4.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Attorney Student Loan Repayment Program Electronic Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR Part 537 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	xxxx	Renewal of Incentive Payments	renewalofincentive.pdf	http://www.usdoj.gov/oarm/aslrp/renewalofincentive.pdf	Yes	No	Fillable Printable
Form and Instruction	xxxx	Request for Consideration	requestforconsideration.pdf	http://www.usdoj.gov/oarm/aslrp/requestforconsideration.pdf	Yes	No	Fillable Printable
Form and Instruction	xxxx	Service Agreement	serviceagreement.pdf	http"//www.usdoj.gov/oarm/aslrp/serviceagreement.pdf	Yes	No	Fillable Printable
Form and Instruction	xxxx	Loan Information Continuation	loaninformationcontinuation.pdf		Yes	No	Fillable Printable
Form and Instruction	xxxx	Renewal of Incentive Part 3	renewalofincentivept3.pdf		Yes	No	Fillable Printable
Form and Instruction	xxxx	Renewal of Incentive Part 4	renewalofincentivept4.pdf		Yes	No	Fillable Printable
Form and Instruction	xxxx	Request Organization Input Part 3	requestorganizationinputpt3.pdf		Yes	No	Fillable Printable
Form and Instruction	xxxx	Request Organization Input Part 4	requestorganizationinputpt4.pdf		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: JMD-024 , Attorney Student Loan Repayment Program Applicant Files	FR Citation: 71 FR 64740

Number of Respondents: 475	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	475	475
Annual IC Time Burden (Hours)	325	325
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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