Forbearance Form--Institution Section

Forbearance Request for National Service Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0030 can be found here:

Documents and Forms

Document Name Document Type
Form 2 Forbearance Form--Institution Section Form and Instruction
2 Forbearance Form--Institution Section 11 forbearance form with AC watermark 041311.doc www,nationalservice.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Forbearance Form--Institution Section	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	Forbearance Form--Institution Section	11 forbearance form with AC watermark 041311.doc	www,nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 70 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	67	67
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.