Information Collection

Attorney Student Loan Repayment Program Electronic Forms

IC 179346 under ICR 201008-1105-001 · OMB 1105-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0086 can be found here:

Documents and Forms

Document Name Document Type
Form OMB Form 1105-0086 Attorney Student Loan Repayment Program Electronic Forms Form
OMB Form 1105-0086 Renewal of Incentive Payments renewalofincentive.pdf www.justice.gov/oarm/aslrp/aslrp.htm Form
OMB Number 1105-00 Request for Consideration requestforconsideration.pdf www.justice.gov/oarm/aslrp/aslrp.htm Form and Instruction
OMB Number 1105-00 Service Agreement serviceagreement.pdf www.justice.gov/oarm/aslrp/aslrp.htm Form and Instruction
OMB Number 1105-00 Loan Information Continuation loaninformationcontinuation.pdf www.justice.gov/oarm/aslrp/aslrp.htm Form and Instruction
OMB Number 1105-00 Renewal of Incentive Part 3 renewalofincentivept3.pdf www.justice.gov/oarm/aslrp/aslrp.htm Form and Instruction
OMB Number 1105-00 Renewal of Incentive Part 4 renewalofincentivept4.pdf www.justice.gov/oarm/aslrp/aslrp.htm Form and Instruction
OMB Number 1105-00 Request Organization Input Part 3 requestorganizationinputpt3.pdf www.justice.gov/oarm/aslrp/aslrp.htm Form and Instruction
OMB Number 1105-00 Request Organization Input Part 4 requestorganizationinputpt4.pdf www.justice.gov/oarm/aslrp/aslrp.htm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Attorney Student Loan Repayment Program Electronic Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR Part 537 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OMB Form 1105-0086	Renewal of Incentive Payments	renewalofincentive.pdf	http://www.justice.gov/oarm/aslrp/aslrp.htm	Yes	No	Fillable Printable
Form and Instruction	OMB Number 1105-0086	Request for Consideration	requestforconsideration.pdf	http://www.justice.gov/oarm/aslrp/aslrp.htm	Yes	No	Fillable Printable
Form and Instruction	OMB Number 1105-0086	Service Agreement	serviceagreement.pdf	http://www.justice.gov/oarm/aslrp/aslrp.htm	Yes	No	Fillable Printable
Form and Instruction	OMB Number 1105-0086	Loan Information Continuation	loaninformationcontinuation.pdf	http://www.justice.gov/oarm/aslrp/aslrp.htm	Yes	No	Fillable Printable
Form and Instruction	OMB Number 1105-0086	Renewal of Incentive Part 3	renewalofincentivept3.pdf	http://www.justice.gov/oarm/aslrp/aslrp.htm	Yes	No	Fillable Printable
Form and Instruction	OMB Number 1105-0086	Renewal of Incentive Part 4	renewalofincentivept4.pdf	http://www.justice.gov/oarm/aslrp/aslrp.htm	Yes	No	Fillable Printable
Form and Instruction	OMB Number 1105-0086	Request Organization Input Part 3	requestorganizationinputpt3.pdf	http://www.justice.gov/oarm/aslrp/aslrp.htm	Yes	No	Fillable Printable
Form and Instruction	OMB Number 1105-0086	Request Organization Input Part 4	requestorganizationinputpt4.pdf	http://www.justice.gov/oarm/aslrp/aslrp.htm	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: JMD-024 , Attorney Student Loan Repayment Program Applicant Files	FR Citation: 71 FR 64740

Number of Respondents: 475	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	475	475
Annual IC Time Burden (Hours)	325	325
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.