Attorney Student Loan Repayment Program Electronic Forms

Forms and Documents

Document Name	Status
Form OMB Form 1105-0086 Attorney Student Loan Repayment Program Electronic Forms Form	Modified
PRA Law and Implementation Documentation.wpd Supplementary Document	2007-06-06
1105-0086 ASLRP_Supporting_Statement.wpd Supporting Statement A	2010-09-16

IC Document Collections

IC ID	Document Title	Status
179346	Attorney Student Loan Repayment Program Electronic Forms Form	Modified

ICR Details

OMB Control No: 1105-0086	ICR Reference No: 201008-1105-001
Status: Historical Active	Previous ICR Reference No: 200703-1105-002
Agency/Subagency: DOJ/LA	Agency Tracking No: OMB Number 1105-0086
Title: Attorney Student Loan Repayment Program Electronic Forms
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/19/2010
	Date Received in OIRA: 09/20/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2013	36 Months From Approved	11/30/2010
Responses	475	0	475
Time Burden (Hours)	325	0	325
Cost Burden (Dollars)	0	0	0

---

Abstract: The Department of Justice Attorney Student Loan Repayment Program is an agency recruitment and retention incentive program. DOJ selects participants during an annual open season. Any DOJ employee serving in or hired to serve in an attorney position may request consideration for the ASLRP.

---

Authorizing Statute(s): US Code: 5 USC Section 5379, as amended Name of Law: Attorney Student Loan Repayment Program Applicant Files
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 30857	06/02/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 45665	08/03/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Attorney Student Loan Repayment Program Electronic Forms	OMB Number 1105-0086, OMB Number 1105-0086, OMB Form 1105-0086, OMB Number 1105-0086, OMB Number 1105-0086, OMB Number 1105-0086, OMB Number 1105-0086, OMB Number 1105-0086	Renewal of Incentive Payments ,   Request for Consideration ,   Service Agreement ,   Loan Information Continuation ,   Renewal of Incentive Part 3 ,   Renewal of Incentive Part 4 ,   Request Organization Input Part 3 ,   Request Organization Input Part 4

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	475	475	0	0	0	0
Annual Time Burden (Hours)	325	325	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $650

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/20/2010

---