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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.