DOD Education Loan Repayment Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD Form 2475 DOD Education Loan Repayment Program	Form	Modified	Repair queued
OMB 0152 (DD 2475) AF SORN.pdf	Supplementary Document	Uploaded 2011-10-31	Available
OMB 0152 (DD 2475) MC SORN.pdf	Supplementary Document	Uploaded 2011-10-31	Available
OMB 0152 (DD 2475) Navy SORN.pdf	Supplementary Document	Uploaded 2011-10-31	Available
OMB 0152 (DD 2475) Army SORN.pdf	Supplementary Document	Uploaded 2011-10-31	Available
OMB 0152 (DD 2475) Spt Stmt.doc	Supporting Statement A	Uploaded 2011-10-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5264	DOD Education Loan Repayment Program	Form	Modified

ICR Details

OMB Control No: 0704-0152	ICR Reference No: 201110-0704-004
Status: Historical Active	Previous ICR Reference No: 201004-0704-002
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: DOD Education Loan Repayment Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/30/2011
	Date Received in OIRA: 10/31/2011
Terms of Clearance: This collection is cleared with the following terms of clearance. Upon re-submission of the form, DOD should consider re-writing the privacy statement to provide at least a link to the URLs on the form. OMB would also suggest the form's authority and purpose sections could be re-written in a more "Plain English" format.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2013	36 Months From Approved
Responses	17,500	0	0
Time Burden (Hours)	2,917	0	0
Cost Burden (Dollars)	46,550	0	0

---

Abstract: 10 USC 2171, 2173, 16301, 16302 authorizes the military Services to repay eligible student loans for individuals who meet certain criteria and who enter military service. Legislation requires that the Services verify the status of the loan prior to payment. The DD Form 2475, "DoD Educational Loan Repayment Program (LRP) Annual Application, collects the necessary data.

---

Authorizing Statute(s): US Code: 10 USC 2171 Name of Law: null
   US Code: 10 USC 2173 Name of Law: null
   US Code: 10 USC 16301 Name of Law: null
   US Code: 10 USC 16302 Name of Law: null
   PL: Pub.L. 109 - 163 537 Name of Law: null
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 34729	07/17/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 34729	07/17/2009
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
DOD Education Loan Repayment Program	DD Form 2475	DOD Education Loan Repayment Program

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	17,500	0	0	0	0	17,500
Annual Time Burden (Hours)	2,917	0	0	0	0	2,917
Annual Cost Burden (Dollars)	46,550	0	0	0	0	46,550

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $23,275

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/31/2011

---