Information Collection

DOD Education Loan Repayment Program

IC 5264 under ICR 201110-0704-004 · OMB 0704-0152.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0152 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2475 DOD Education Loan Repayment Program DOD Education Loan Repayment Program	Form
DD Form 2475 DOD Education Loan Repayment Program DRAFT DD 2475.pdf	Form
AUTHORITY LINKS.doc Authority Links	IC Document

IC Title:

DOD Education Loan Repayment Program

Agency IC Tracking Number:

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	DD Form 2475				Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	17,500	17,500
Annual IC Time Burden (Hours)	2,917	2,917
Annual IC Cost Burden (Dollars)	46,550	46,550

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authority Links		08/29/2006

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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