Information Collection

Lender Application for Payment of Insurance Claim

IC 183061 under ICR 200712-1845-003 · OMB 1845-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0042 can be found here:

Documents and Forms

Document Name Document Type
Lender Application for Payment of Insurance Claim Form
Att_FISLblank-04.XLS Instruction
Insurance Claim Form Att_FISLblank-04.XLS Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Lender Application for Payment of Insurance Claim	Agency IC Tracking Number:	3488

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Insurance Claim Form	Att_FISLblank-04.XLS		No		Fillable Fileable
Instruction			Att_FISLblank-04.XLS		No		Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	14	14
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.