Information Collection

Loan Discharge Application: False Certification (Disqualifying Status)

IC 186199 under ICR 201109-1845-002 · OMB 1845-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Loan Discharge Application: False Certification (Disqualifying Status)	Form and Instruction
Loan Discharge Application: False Certification (Disqual 1845-0015_ FC-DS_30-day_10142011 (2).doc	Form and Instruction

IC Title:

Loan Discharge Application: False Certification (Disqualifying Status)

Agency IC Tracking Number:

4690

Is this a Common Form? No

IC Status: Modified

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 and Instruction	N/A	Loan Discharge Application: False Certification (Disqualify Status)	1845-0015_ FC-DS_30-day_10142011 (2).doc		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Title IV Program Files

FR Citation: 64 FR 30163

Number of Respondents: 1,290

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	1,290	1,290
Annual IC Time Burden (Hours)	645	645
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.