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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.