Information Collection

Application for Debt Education Course Provider

IC 11783 under ICR 200809-1105-001 · OMB 1105-0085.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0085 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OMB Number 1105-00 Application for Debt Education Course Provider	Form and Instruction
OMB Number 1105-00 Appendix F: Activity Report for Approved Debtor Educatio Appendix F Revised DE Semi Annual Activity Report.pdf	Form and Instruction

IC Title:

Application for Debt Education Course Provider

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	OMB Number 1105-0085	Appendix F: Activity Report for Approved Debtor Education Providers	Appendix F Revised DE Semi Annual Activity Report.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	6,400	6,400
Annual IC Cost Burden (Dollars)	3,000	3,000

Documents for IC

table that charts IC Documents
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.