Information Collection

Section 601.11 - Private Education Loan Disclosures and Self-Certification

IC 191624 under ICR 200912-1845-001 · OMB 1845-0101.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0101 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Section 601.11 - Private Education Loan Disclosures and Self-Certification	Form and Instruction
Self Certification Form FINAL Att_Draft Self Cert Form.FINAL.02.03.10.doc	Form and Instruction
Att_Draft Self Cert Form.FINAL.02.03.10.pdf PDF Loan Certification Form	IC Document

IC Title:

Section 601.11 - Private Education Loan Disclosures and Self-Certification

Agency IC Tracking Number:

4046

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 601

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	N/A	Self Certification Form FINAL	Att_Draft Self Cert Form.FINAL.02.03.10.doc		Yes	No	Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,435,445

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,435,445	4,435,445
Annual IC Time Burden (Hours)	1,940,515	1,940,515
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PDF Loan Certification Form	Att_Draft Self Cert Form.FINAL.02.03.10.pdf	02/12/2010

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