Information Collection

Application for Debt Education Course Provider

IC 11783 under ICR 200906-1105-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 xxxx Application for Debt Education Course Provider	Form
DE_Application_Instructions.pdf	Instruction
DE_Instructions_Universities.pdf	Instruction
xxxx Dedtor Education Application DE_Application.pdf	Form
xxxx DE Application Appendix A DE_Application_Appendix_A.pdf	Form
xxxx DE Application Appendix B DE_Application_Appendix_B.pdf	Form
xxxx DE Application Appendix C DE_Application_Appendix_C.pdf	Form
xxxx DE Application Appendix D DE_Application_Appendix_D.pdf	Form
xxxx DE Application Appendix E DE_Application_Appendix_E.pdf	Form
xxxx Appendix F Revised Appendix F Revised.pdf	Form
DE 83I OMB.pdf OMB 83-I	IC Document

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	xxxx	Dedtor Education Application	DE_Application.pdf	Yes	No	Fillable Printable
Form	xxxx	DE Application Appendix A	DE_Application_Appendix_A.pdf	Yes	No	Fillable Printable
Form	xxxx	DE Application Appendix B	DE_Application_Appendix_B.pdf	Yes	No	Fillable Printable
Form	xxxx	DE Application Appendix C	DE_Application_Appendix_C.pdf	Yes	No	Fillable Printable
Form	xxxx	DE Application Appendix D	DE_Application_Appendix_D.pdf	Yes	No	Fillable Printable
Form	xxxx	DE Application Appendix E	DE_Application_Appendix_E.pdf	Yes	No	Fillable Printable
Form	xxxx	Appendix F Revised	Appendix F Revised.pdf	Yes	No	Fillable Printable
Instruction			DE_Application_Instructions.pdf	Yes	No	Printable Only
Instruction			DE_Instructions_Universities.pdf	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	300	-500	800
Annual IC Time Burden (Hours)	3,000	-3,400	6,400
Annual IC Cost Burden (Dollars)	150,000	147,000	3,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB 83-I	DE 83I OMB.pdf	06/18/2009

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