Information Collection

Civil Legal Assistance Attorney Student Loan Repayment Program

IC 192901 under ICR 201005-1845-001 · OMB 1845-0104.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0104 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Civil Legal Assistance Attorney Student Loan Repayment Program	Form
Civil Legal Assistance Attorney Loan Repayment Applicati Att_CLAA Agreement.Final Emerg Cl Draft.05-07-2010.doc	Form
Civil Legal Assistance Attorney Loan Repayment Annual Ce Att_CLAA Empl Cert.Final Emerg Cl Draft.05-07-2010.doc	Form

IC Title:

Civil Legal Assistance Attorney Student Loan Repayment Program

Agency IC Tracking Number:

4309

Is this a Common Form? No

IC Status: New

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	N/A	Civil Legal Assistance Attorney Loan Repayment Application to Participate and Service Agreement	Att_CLAA Agreement.Final Emerg Cl Draft.05-07-2010.doc		Yes	No	Printable Only
Form	N/A	Civil Legal Assistance Attorney Loan Repayment Annual Certification of Employment	Att_CLAA Empl Cert.Final Emerg Cl Draft.05-07-2010.doc		Yes	No	Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 833

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 New Statute
Annual Number of Responses for this IC	833	833
Annual IC Time Burden (Hours)	142	142
Annual IC Cost Burden (Dollars)	0	0

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.